| NPI | 1821432394 |
|---|---|
| Doing Business As | GLEN DALE CENTER |
| Entity Type | Organization |
| Authorized Contact | SHARON C' DE BACA Executive Assistant To President 502-538-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: KY 500024) |
| Enumeration Date | 2013-04-26 |
| Last Update Date | 2022-10-25 |