Organization
USPIRITUS-BROOKLAWN-PILOTS
Active
Parent organization
USPIRITUS, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
USPIRITUS, INC.
Authorized official
MARY KATE O'LEARY (PRESIDENT CEO)
(502) 451-5177
Entity
Organization
Contact information
Practice address
2108 DAVID GRAVES DR, LOUISVILLE, KY 40218
(502) 451-5177
(502) 451-0896
Mailing address
3121 BROOKLAWN CAMPUS DR, LOUISVILLE, KY 40218-1282
(502) 451-5177
(502) 451-0896
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
950013
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0405602400
—
KY
05
—
7100254690
—
KY
Enumeration date
12/28/2006
Last updated
11/05/2013
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