NPI 1306142062
Phc-Cleveland LLC
Practice location
- Address
- 680 S 4th St, Louisville, KY 40202-2407
- Phone
- (502) 596-6063
- Fax
- (502) 212-8481
Authorised official
- Name
- Johnetta Traylor
- Title
- Director
- Phone
- (502) 596-6063
Registered specialties
Psychiatric Hospital Unit
Primary
Registry record
- NPI
- 1306142062
- Entity type
- Organization
- NPI issued
- 28 Jan 2011
- Record last updated
- 10 Jun 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.