NPI 1912089863

Home of the Innocents

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Louisville, KY

Practice location

Address: 1100 E. Market St., Louisville, KY 40206
Phone: (502) 596-1000
Fax: (502) 596-1413

Authorised official

Name: Gordon Brown
Title: President & Ceo
Phone: (502) 596-1000

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence 500050 (KY)

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Registry record

NPI: 1912089863
Entity type: Organization
NPI issued: 19 Oct 2006
Record last updated: 6 Aug 2013

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.