NPI | 1750552857 |
---|---|
Doing Business As | EASTERN STATE HOSPITAL |
Entity Type | Organization |
Authorized Contact | JENNIFER MOORE Assistant Director 502-782-6117 |
Organization Subpart ? | Yes |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
2084P0800X Psychiatry & Neurology, Psychiatry | |
208D00000X General Practice | |
363A00000X Physician Assistant | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2008-03-17 |
Last Update Date | 2024-10-30 |