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Organization
PENTECOSTAL CHILDREN'S HOME
Active
Organization
PENTECOSTAL CHILDREN'S HOME
Active
Other names
Appalachian Children's Home
Organization subpart
No
Provider details
NPI number
Authorized official
MISS HOLLY R TAYLOR LPCC (TREATMENT DIRECTOR)
(606) 546-3805
Entity
Organization
Contact information
Practice address
1909 KY 3439, BARBOURVILLE, KY 40906-7201
(606) 546-3805
(606) 546-3903
Mailing address
PO BOX 550, BARBOURVILLE, KY 40906-0550
(606) 546-3805
(606) 546-3903
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
800232
KY
3245S0500X
Children's Substance Abuse Rehabilitation Facility
810530
KY
Other
Enumeration date
11/22/2016
Last updated
06/04/2019
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