Organization
BRALEY & THOMPSON, INC.
Active
Other names
The Act House
Organization subpart
No
Provider details
NPI number
Authorized official
DEENA OMBRES (PRIVACY OFFICER)
(502) 394-2387
Entity
Organization
Contact information
Practice address
12 CLOTINE ST, SAINT ALBANS, WV 25177-2509
(304) 720-1300
Mailing address
9901 LINN STATION RD, LOUISVILLE, KY 40223-3808
(800) 866-0860
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30119427
—
WV
Enumeration date
06/30/2008
Last updated
06/30/2008
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