| Green House Family Resource Center | |
|
717 W Market St Ste 1 Louisville KY 40202-2755 | |
| (502) 855-3290 | |
| Not Available |
| Full Name | Green House Family Resource Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 717 W Market St Ste 1, Louisville, Kentucky |
| Authorized Official Name and Position | Jacqueline Sanders (CREDENTIALING ADMINISTRATOR) |
| Authorized Official Contact | 5026302036 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Green House Family Resource Center 717 W Market St Ste 1 Louisville KY 40202-2755 Ph: (502) 855-3290 | Green House Family Resource Center 717 W Market St Ste 1 Louisville KY 40202-2755 Ph: (502) 855-3290 |
| NPI Number | 1396302980 |
|---|---|
| Provider Enumeration Date | 05/20/2019 |
| Last Update Date | 05/20/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396302980 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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