Bluegrass Regional Mental Health Mental Retardation Board

NPI 1023359783 - Clinic/Center - 261QM0801X

NPI Details
NPI 1023359783
Enumeration Date 03/06/2013
Last Updated 03/06/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name DAVID DAVID
Position INTERIM PRESIDENT AND CEO
Phone (859) 253-1686
Fax
Practice Location
3161 CUSTER DR
STE 4
LEXINGTON KY, 40517-4067, US
Phone (859) 253-1686
Fax
Business Location
1351 NEWTOWN PIKE
LEXINGTON KY, 40511-1275, US
Phone
Fax
Toxanomy
Taxonomy Code 261QM0801X
License State
License Number
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According to our database, Bluegrass Regional Mental Health Mental Retardation Board NPI is 1023359783, taxonomy code is 261QM0801X Bluegrass Regional Mental Health Mental Retardation Board physically located at 3161 Custer Dr, Lexington KY, 40517-4067. NPI Number 1033115704 has the healthcare provider type.

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1023359783 NPI number is provided on an as is basis without warranty of any kind. 1023359783 is maintained by the National Plan & Provider Enumeration System. The contents of Bluegrass Regional Mental Health Mental Retardation Board are for informational purposes only.