Provider First Line Business Practice Location Address:
3715 BARDSTOWN ROAD, SUITE 415
Provider Second Line Business Practice Location Address:
FAMILY LINKS
Provider Business Practice Location Address City Name:
LOUISVILLE
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40218
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
502-639-0152
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/23/2005