| Can-teens Foundation | |
|
800 Cawthorn St Louisville KY 40203 | |
| (704) 891-6883 | |
| Not Available |
| Full Name | Can-teens Foundation |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 800 Cawthorn St, Louisville, Kentucky |
| Authorized Official Name and Position | Delores Jordan (OWNER) |
| Authorized Official Contact | 7049998627 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Can-teens Foundation 800 Cawthorn St Louisville KY 40203 Ph: (704) 891-6883 | Can-teens Foundation 800 Cawthorn St Louisville KY 40203 Ph: (704) 891-6883 |
| NPI Number | 1801568092 |
|---|---|
| Provider Enumeration Date | 10/05/2021 |
| Last Update Date | 10/05/2021 |
| Certification Date | 09/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801568092 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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