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NPI 1912089863 · Emotionally Disturbed Childrens' Residential Treatment Facility · Louisville, KY
Provider details
- NPI number
- 1912089863
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Gordon Brown, President & Ceo(502) 596-1000
- License
- 500050 (KY)
Specialties & taxonomies
Residential Treatment Facilities
Practice location
1100 E. Market St.
Louisville, KY 40206
Phone: (502) 596-1000
Fax: (502) 596-1413
Approximate (ZIP-level) locationGet directions
Mailing address
1100 E. Market St.
Louisville, KY 40206
Registry dates
- Enumerated
- 2006-10-19
- Last updated
- 2013-08-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.