A NEW ORDER
Organization (NPI-2)
Active
Counselor, Professional
Provider Information
- NPI Number
1629753835- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 4335 HAZELWOOD AVE, LOUISVILLE, KY, 402151111
- Phone
- (502) 618-0397
Specialties & Taxonomies
Counselor, Professional
Primary