| Commonwealth Autism Care | |
|
125 Reardon Blvd Bardstown KY 40004-2034 | |
| (877) 498-0319 | |
| Not Available |
| Full Name | Commonwealth Autism Care |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 125 Reardon Blvd, Bardstown, Kentucky |
| Authorized Official Name and Position | Brett Blevins (CEO) |
| Authorized Official Contact | 8774980319 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Commonwealth Autism Care 6900 Houston Rd Ste 19 Florence KY 41042-4890 Ph: (859) 620-0041 | Commonwealth Autism Care 125 Reardon Blvd Bardstown KY 40004-2034 Ph: (877) 498-0319 |
| NPI Number | 1417788589 |
|---|---|
| Provider Enumeration Date | 08/12/2024 |
| Last Update Date | 08/12/2024 |
| Certification Date | 08/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417788589 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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