Organization
TBD ACQUISITION LLC
Active
Other names
Ten Broeck Dupont, The Brook Hospital - Dupont
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE FILTON (SR VP CFO)
(610) 768-3300
Entity
Organization
Contact information
Practice address
1405 BROWNS LN, LOUISVILLE, KY 40207-4608
(502) 896-0495
Mailing address
1405 BROWNS LN, LOUISVILLE, KY 40207-4608
(502) 896-0495
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
KY
323P00000X
Psychiatric Residential Treatment Facility
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200287050A
—
IN
05
—
45000221
—
KY
05
—
7100029470
—
KY
Enumeration date
03/19/2008
Last updated
10/23/2018
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