Whalio Doctors

NPI 1811430978

Pentecostal Children's Home

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Barbourville, KY

Practice location

Address
1909 Ky 3439, Barbourville, KY 40906-7201
Phone
(606) 546-3805
Fax
(606) 546-3903
Mailing address
PO Box 550, Barbourville, KY 40906-0550

Authorised official

Name
Holly R Taylor
Title
Treatment Director
Phone
(606) 546-3805

Registered specialties (3)

Emotionally Disturbed Childrens' Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 322D00000X Licence 800232 (KY)
Foster Care Agency
Agencies Taxonomy 253J00000X
Children's Substance Abuse Rehabilitation Facility
Residential Treatment Facilities Taxonomy 3245S0500X Licence 810530 (KY)

Registry record

NPI
1811430978
Entity type
Organization
NPI issued
22 Nov 2016
Record last updated
4 Jun 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.