| NPI | 1790816395 |
|---|---|
| Doing Business As | EASTERN STATE HOSPITAL |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE CRAYCRAFT Director 502-782-6243 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital |
| Additional Taxonomies | 283Q00000X Psychiatric Hospital |
| 3336I0012X Pharmacy, Institutional Pharmacy (Licence: KY P06579) | |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2015-07-07 |