| Children And Youth Project | |
|
555 S Floyd St Louisville KY 40202-3801 | |
| (502) 852-5588 | |
| (502) 852-5630 |
| Full Name | Children And Youth Project |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 555 S Floyd St, Louisville, Kentucky |
| Authorized Official Name and Position | Gerard Rabalais (CHAIRMAN) |
| Authorized Official Contact | 5028528600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children And Youth Project Po Box 2469 Louisville KY 40201-2469 Ph: (502) 852-8500 | Children And Youth Project 555 S Floyd St Louisville KY 40202-3801 Ph: (502) 852-5588 |
| NPI Number | 1750435806 |
|---|---|
| Provider Enumeration Date | 01/23/2007 |
| Last Update Date | 07/09/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750435806 | NPI | - | NPPES |
| 31000102 | Medicaid | KY |
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