Central State Hospital

NPI #1366447609 in Louisville, Kentucky

Provider Information

NPI Number
1366447609
Entity Type
Organization
Organization Name
Central State Hospital
Subpart
Yes (part of a larger organization)
Parent Organization
COMMONWEALTH OF KENTUCKY
Primary Specialty
Psychiatric Hospital
Enumeration Date
Jun 14, 2005
Last Updated
Jul 30, 2010

Practice Location

Address
10510 LAGRANGE RD
ZIP Code
40223-1277
Phone
(502) 253-7135

Authorized Official

Name
MARK L REYNOLDS
Title
CONTROLLER
Phone
(502) 253-7135

Specialties & Taxonomy Codes

Specialty
Psychiatric Hospital

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