| NPI | 1023895075 |
|---|---|
| Doing Business As | PURCHASE YOUTH VILLAGE |
| Entity Type | Organization |
| Authorized Contact | DENISE DENISE LESTER CEO 270-252-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2023-09-13 |
| Last Update Date | 2023-09-13 |