NPI | 1598056210 |
---|---|
Doing Business As | CENTRAL STATE HOSPITAL PHYSICIANS |
Entity Type | Organization |
Authorized Contact | STEPHANIE CRAYCRAFT Director 502-782-6243 |
Organization Subpart ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
Enumeration Date | 2011-04-28 |
Last Update Date | 2015-07-16 |