# SHILOH CITY OF PEACE FOUNDATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194983817
- **Authorized official:** MRS. LAQUITA GASKINS (CEO)
- **Authorized official phone:** (270) 300-1841

## Contact information

- **Practice address:** 280 BRIGGS LN, VINE GROVE, KY 40175-9418
- **Practice address phone:** (270) 300-1841
- **Mailing address:** 280 BRIGGS LN, VINE GROVE, KY 40175-9418
- **Mailing address phone:** (270) 300-1841

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 251B00000X | Case Management Agency | — | NULL | — |
| 261QD1600X | Developmental Disabilities Clinic/Center | — | NULL | — |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 05/29/2008
- **Last updated:** 05/29/2008