Broadway Church of Christ

NPI #1427061001 in Paducah, Kentucky

Provider Information

NPI Number: 1427061001
Entity Type: Organization
Organization Name: Broadway Church of Christ
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Aug 14, 2006
Last Updated: Jul 25, 2008

Practice Location

Address: 2820 JEFFERSON ST
City: Paducah
State: Kentucky
ZIP Code: 42001
Phone: (270) 442-5738

Authorized Official

Name: ROGER DALE THOMPSON, MS LMFT QMHP
Title: EXECUTIVE DIRECTOR
Phone: (270) 442-5738

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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