in Columbia - Psychiatric Residential Treatment Facility

- NPI 1811107436

is a Psychiatric Residential Treatment Facility in Columbia, Kentucky. practices all healthcare services and medical treatments related to Psychiatric Residential Treatment Facility. The NPI Number for is 1811107436. The last update date is .

's current location address is 4500 Campbellsville Rd, Columbia, Kentucky. You can contact this provider via phone number 2703846750 and fax number 2703843132. The mailing address for is 4500 Campbellsville Rd, Columbia, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Name
Address 4500 Campbellsville Rd, Columbia, Kentucky
Phone Number 2703846750
Fax Number 2703843132
Sole Proprietor --
Credentials --

NPI Number Detail

NPI Number 1811107436
Provider Enumeration Date
Last Updated Date

Provider Mailing Address Detail

Address 4500 Campbellsville Rd
City Columbia
State Kentucky (KY)
Post Code 427289314
Phone Number 2703846750
Fax Number 2703843132

Provider's Primary Taxonomy Detail

Speciality Psychiatric Residential Treatment Facility
Taxonomy 323P00000X
Licence No 950004
Definition:
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized ps

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4001020 KY --

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