| NPI | 1366447609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK L REYNOLDS Controller 502-253-7135 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: KY 100198) |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2010-07-30 |