| 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 |