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Organization

PSYCHIATRIC CENTER INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAY VALLABH NAROLA MD (OWNER)
(606) 432-7233
Entity
Organization

Contact information

Practice address
1330 S MAYO TRL, NOVA COMPLEX SUITE 301, PIKEVILLE, KY 41501-2321
(606) 432-7233
(606) 432-7255
Mailing address
PO BOX 2470, PIKEVILLE, KY 41502-2470
(606) 432-7233
(606) 432-7255

Taxonomy

Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
3002856
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
007113722
MEDICAID
VA
05
0204477000
WV
05
65931784
KY
Enumeration date
04/03/2007
Last updated
01/15/2013
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