TEN BROECK DUPONT INC NPI 1649258781

NPI Information

TEN BROECK DUPONT INC is a psychiatric hospital in Louisville, KY. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. TEN BROECK DUPONT INC NPI is 1649258781. The provider is registered as an organization entity type.

The provider's business location address is:

1405 BROWNS LN
LOUISVILLE, KY
ZIP 40207-608
Phone: (502) 896-0495
Fax: (502) 893-8792

The provider's authorized official is John Hollinsworth .
The authorized official title is Chief Executive Officer and has the following contact phone number (502) 896-0495.

The enumeration date for this NPI number is 1/9/2006 and was last updated on 4/20/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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