| NPI | 1841448735 |
|---|---|
| Doing Business As | OUR LADY OF PEACE PRTF - MALCOLM HOUSE |
| Entity Type | Organization |
| Authorized Contact | RONALD FARR Chief Financial Officer 502-540-3888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2012-08-28 |