Uspiritus-brooklawn-horizons

NPI 1033275342 - Psychiatric Residential Treatment Facility - 323P00000X

NPI Details
NPI 1033275342
Enumeration Date 12/29/2006
Last Updated 11/05/2013
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MARY KATE MARY
Position PRESIDENT CEO
Phone (502) 451-5177
Fax (502) 451-0896
Practice Location
2104 DAVID GRAVES 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 950020
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According to our database, Uspiritus-brooklawn-horizons NPI is 1033275342, taxonomy code is 323P00000X and license number is 950020, license state is located at Kentucky. Uspiritus-brooklawn-horizons physically located at 2104 David Graves Dr, Louisville KY, 40218. NPI Number 1033115704 has the healthcare provider type.

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1033275342 NPI number is provided on an as is basis without warranty of any kind. 1033275342 is maintained by the National Plan & Provider Enumeration System. The contents of Uspiritus-brooklawn-horizons are for informational purposes only.