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1497378111
ALTERNATIVE YOUTH SERVICES, INC.
LOUISVILLE, KY
NPI
1497378111
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Entity Type
Organization
Authorized Contact
ANGIE MATTINGLY
Manager Provider Enrollment
502-381-3579
Organization Subpart ?
No
Primary Taxonomy
251S00000X
Enumeration Date
2020-05-28
Last Update Date
2020-05-28
Business Address
ALTERNATIVE YOUTH SERVICES, INC.
11218 PROFESSIONAL PARK DR
LOUISVILLE, KY 40291-4476
Phone number: 502-239-4959
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Mailing Address
ALTERNATIVE YOUTH SERVICES, INC.
805 N WHITTINGTON PKWY
LOUISVILLE, KY 40222-7101
Phone number:
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