| NPI | 1598056210 |
|---|---|
| Doing Business As | CENTRAL STATE HOSPITAL PHYSICIANS |
| Entity Type | Organization |
| Authorized Contact | JENNIFER MOORE Assistant Director 502-782-6117 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2024-10-30 |