Uspiritus-brooklawn-susan's

NPI 1558591669 - Psychiatric Residential Treatment Facility - 323P00000X

NPI Details
NPI 1558591669
Enumeration Date 07/23/2009
Last Updated 10/29/2013
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name MARY KATE MARY
Position PRESIDENT, CEO
Phone (502) 451-5177
Fax (502) 451-0896
Practice Location
2119 GOLDSMITH LN
LOUISVILLE KY, 40218-1206, 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 950025
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According to our database, Uspiritus-brooklawn-susan's NPI is 1558591669, taxonomy code is 323P00000X and license number is 950025, license state is located at Kentucky. Uspiritus-brooklawn-susan's physically located at 2119 Goldsmith Ln, Louisville KY, 40218-1206. NPI Number 1033115704 has the healthcare provider type.

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1558591669 NPI number is provided on an as is basis without warranty of any kind. 1558591669 is maintained by the National Plan & Provider Enumeration System. The contents of Uspiritus-brooklawn-susan's are for informational purposes only.