NPI | 1487099115 |
---|---|
Doing Business As | FAYETTE MEMORIAL HOSPITAL GERI PSYCH |
Entity Type | Organization |
Authorized Contact | RANDALL WHITE CEO 765-827-7987 |
Organization Subpart ? | No |
Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: IN 1750050591) |
Enumeration Date | 2013-05-08 |
Last Update Date | 2017-10-18 |