Louisville Jefferson County Metro Government

NPI #1932504172 in Louisville, Kentucky

Provider Information

NPI Number
1932504172
Entity Type
Organization
Organization Name
Louisville Jefferson County Metro Government
Primary Specialty
Clinic/Center - Methadone
Enumeration Date
Oct 30, 2014
Last Updated
Apr 28, 2020

Practice Location

Address
4500 CHURCHMAN AVE
ZIP Code
40215-1188
Phone
(502) 574-6414

Authorized Official

Name
EVETTE DENISE HUDSON
Title
FISCAL MANAGER
Phone
(502) 574-6580

Specialties & Taxonomy Codes

Specialty
Clinic/Center - MethadoneMethadone

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