| NPI | 1447672910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA SHOUSE Delegated/Authorized Official 502-680-2115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: TX 100246) |
| Enumeration Date | 2014-01-17 |
| Last Update Date | 2020-04-08 |