Shiloh City of Peace Foundation

NPI #1194983817 in Vine Grove, Kentucky

Provider Information

NPI Number: 1194983817
Entity Type: Organization
Organization Name: Shiloh City of Peace Foundation
Primary Specialty: Counselor - Mental Health
Enumeration Date: May 29, 2008
Last Updated: May 29, 2008

Practice Location

Address: 280 BRIGGS LN
City: Vine Grove
State: Kentucky
ZIP Code: 40175-9418
Phone: (270) 300-1841

Authorized Official

Name: MRS. LAQUITA GASKINS
Title: CEO
Phone: (270) 300-1841

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X
Clinic/Center - Developmental Disabilities — Developmental Disabilities	261QD1600X
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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