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Organization

PENNYROYAL SERVICES

Active
Other names
Pennyroyal Mental Health Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAVID M PTASZEK LCSW (EXECUTIVE DIRECTOR)
(270) 886-2205
Entity
Organization

Contact information

Practice address
735 NORTH DR, HOPKINSVILLE, KY 42240-2620
(270) 886-2205
(270) 886-5178
Mailing address
735 NORTH DR, HOPKINSVILLE, KY 42240-2620
(270) 886-2205
(270) 886-5178

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
800002
KY

Other

Enumeration date
03/18/2010
Last updated
03/18/2010
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