# BARNABAS HOME INC

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

## Provider details

- **NPI number:** 1689221764
- **Authorized official:** ELIZA DIANE CLONTZ LPCC LCADC CSS (CLINICAL TREATMENT DIRECTOR)
- **Authorized official phone:** (606) 364-3640

## Contact information

- **Practice address:** 95 CAMPUS DRIVE, ANNVILLE, KY 40402
- **Practice address phone:** (606) 364-3640
- **Practice address fax:** (606) 364-2534
- **Mailing address:** PO BOX 209, ANNVILLE, KY 40402-0209
- **Mailing address phone:** (606) 364-3640
- **Mailing address fax:** (606) 364-2534

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | — | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | — | Yes |

## Other

- **Enumeration date:** 08/22/2019
- **Last updated:** 08/22/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7100283130 | — | KY |