Provider Demographics
NPI:1871981746
Name:SAINT FRANCIS CENTER
Entity type:Organization
Organization Name:SAINT FRANCIS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:
Authorized Official - Last Name:MCKENZIE
Authorized Official - Suffix:
Authorized Official - Credentials:MSSW, CADC
Authorized Official - Phone:502-587-9737
Mailing Address - Street 1:119 S SHERRIN AVE STE 230
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40207-3237
Mailing Address - Country:US
Mailing Address - Phone:502-897-1550
Mailing Address - Fax:
Practice Address - Street 1:119 S SHERRIN AVE STE 230
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-3237
Practice Address - Country:US
Practice Address - Phone:502-897-1550
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GREATER LOUISVILLE COUNSELING CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-12-31
Last Update Date:2014-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY800150251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health