NPI 1689221764

Barnabas Home INC

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Annville, KY

Practice location

Address: 95 Campus Drive, Annville, KY 40402
Phone: (606) 364-3640
Fax: (606) 364-2534
Mailing address: PO Box 209, Annville, KY 40402-0209

Authorised official

Name: Eliza Diane Clontz
Title: Clinical Treatment Director
Phone: (606) 364-3640

Registered specialties (2)

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

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Case Management Agency

Agencies Taxonomy 251B00000X

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Registry record

NPI: 1689221764
Entity type: Organization
NPI issued: 22 Aug 2019
Record last updated: 22 Aug 2019

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.