| NPI | 1467633107 |
|---|---|
| Doing Business As | WOODLAWN PRTF EAST |
| Entity Type | Organization |
| Authorized Contact | SHARON C' DE BACA Executive Assistant To President 502-538-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2007-11-23 |
| Last Update Date | 2022-10-25 |