Provider Demographics
NPI:1376431072
Name:KENTUCKY RIVER FOOTHILLS DEVELOPMENT COUNCIL, INC.
Entity type:Organization
Organization Name:KENTUCKY RIVER FOOTHILLS DEVELOPMENT COUNCIL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:ESTEPP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-624-2046
Mailing Address - Street 1:176 12TH ST
Mailing Address - Street 2:
Mailing Address - City:CLAY CITY
Mailing Address - State:KY
Mailing Address - Zip Code:40312-8981
Mailing Address - Country:US
Mailing Address - Phone:859-972-7038
Mailing Address - Fax:
Practice Address - Street 1:176 12TH ST
Practice Address - Street 2:
Practice Address - City:CLAY CITY
Practice Address - State:KY
Practice Address - Zip Code:40312-8981
Practice Address - Country:US
Practice Address - Phone:859-972-7038
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KENTUCKY RIVER FOOTHILLS DEVELOPMENT COUNCIL, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-06-24
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY800490OtherBHSO