| NPI | 1801823828 |
|---|---|
| Doing Business As | EASTERN STATE HOSPITAL |
| Entity Type | Organization |
| Authorized Contact | ERICA L ODUSANYA Fiscal Office Manager 859-246-7363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2020-08-22 |