| NPI | 1124237375 |
|---|---|
| Doing Business As | OUR LADY OF PEACE EPSDT |
| Entity Type | Organization |
| Authorized Contact | RONALD FARR Chief Financial Officer 502-540-3888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2012-08-28 |