| Getting Back On Track Llc | |
|
3300 Kirby Ave Louisville KY 40211-3445 | |
| (502) 677-9188 | |
| Not Available |
| Full Name | Getting Back On Track Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3300 Kirby Ave, Louisville, Kentucky |
| Authorized Official Name and Position | Jacqueline Sanders (CREDENTIALING ADMIN) |
| Authorized Official Contact | 5026167276 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Getting Back On Track Llc 3300 Kirby Ave Louisville KY 40211-3445 Ph: (502) 677-9188 | Getting Back On Track Llc 3300 Kirby Ave Louisville KY 40211-3445 Ph: (502) 677-9188 |
| NPI Number | 1881416550 |
|---|---|
| Provider Enumeration Date | 10/24/2024 |
| Last Update Date | 10/24/2024 |
| Certification Date | 10/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881416550 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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