Uspiritus Brooklawn Academy

NPI 1477618718 - Psychiatric Residential Treatment Facility - 323P00000X

NPI Details
NPI 1477618718
Enumeration Date 12/27/2006
Last Updated 11/05/2013
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MARY KATE MARY
Position PRESIDENT CEO
Phone (502) 451-5177
Fax (502) 451-0896
Practice Location
3115 BROOKLAWN CAMPUS DR
LOUISVILLE KY, 40218, US
Phone (502) 451-5177
Fax (502) 451-0896
Business Location
3121 BROOKLAWN CAMPUS DR
LOUISVILLE KY, 40218-1282, US
Phone (502) 451-5177
Fax (502) 451-0896
Toxanomy
Taxonomy Code 323P00000X
License State Kentucky
License Number 950001
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According to our database, Uspiritus Brooklawn Academy NPI is 1477618718, taxonomy code is 323P00000X and license number is 950001, license state is located at Kentucky. Uspiritus Brooklawn Academy physically located at 3115 Brooklawn Campus Dr, Louisville KY, 40218. NPI Number 1033115704 has the healthcare provider type.

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1477618718 NPI number is provided on an as is basis without warranty of any kind. 1477618718 is maintained by the National Plan & Provider Enumeration System. The contents of Uspiritus Brooklawn Academy are for informational purposes only.