Provider Demographics
NPI:1902511405
Name:HUNNYBEE CWNTER FOR AUTISM
Entity Type:Organization
Organization Name:HUNNYBEE CWNTER FOR AUTISM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-612-1456
Mailing Address - Street 1:954 WILLOW CREEK LN
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40245-7000
Mailing Address - Country:US
Mailing Address - Phone:631-707-3587
Mailing Address - Fax:
Practice Address - Street 1:954 WILLOW CREEK LN
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40245-7000
Practice Address - Country:US
Practice Address - Phone:631-707-3587
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-18
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health