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NPI 1487936449 · Emotionally Disturbed Childrens' Residential Treatment Facility · Lexington, KY
Provider details
- NPI number
- 1487936449
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Jennifer Connor, Therapist/Program Director(859) 252-8636
- License
- 500066 (KY)
Specialties & taxonomies
Residential Treatment Facilities
Practice location
519 W Fourth St
Lexington, KY 40508-1205
Phone: (859) 252-8636
Fax: (859) 252-5546
Approximate (ZIP-level) locationGet directions
Mailing address
519 W Fourth St
Lexington, KY 40508-1205
Registry dates
- Enumerated
- 2011-09-15
- Last updated
- 2011-09-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.