NPI | 1528184108 |
---|---|
Doing Business As | COMMUNITY YOUTH HOME - WEST |
Entity Type | Organization |
Authorized Contact | W RICHARD MARSHALL Vice President CFO 502-254-4200 |
Organization Subpart ? | No |
Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: KY 04000014) |
Enumeration Date | 2007-03-22 |
Last Update Date | 2020-08-22 |