Ten Broeck Dupont INC

NPI #1649258781 in Louisville, Kentucky

Provider Information

NPI Number
1649258781
Entity Type
Organization
Organization Name
Ten Broeck Dupont INC
Primary Specialty
Psychiatric Hospital
Enumeration Date
Jan 9, 2006
Last Updated
Apr 20, 2008

Practice Location

Address
1405 BROWNS LN
ZIP Code
40207-4608
Phone
(502) 896-0495

Authorized Official

Name
MR. JOHN HOLLINSWORTH
Title
CHIEF EXECUTIVE OFFICER
Phone
(502) 896-0495

Specialties & Taxonomy Codes

Specialty
Psychiatric Residential Treatment Facility
Psychiatric Hospital

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