Organization
LIFESKILLS, INC.
Active
Parent organization
LIFESKILLS, INC.
Other names
Pennyroyal Center, Pennyroyal Regional Mental Health-Mental Retardation Board Inc
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFESKILLS, INC.
Authorized official
TOMMI MICHELLE HOLLOWAY (VICE PRESIDENT OF FINANCE)
(270) 901-5000
Entity
Organization
Contact information
Practice address
735 NORTH DR, HOPKINSVILLE, KY 42240-2620
(270) 886-5163
Mailing address
PO BOX 614, HOPKINSVILLE, KY 42241-0614
(270) 886-2205
(270) 886-0392
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100037630
—
KY
Enumeration date
07/24/2019
Last updated
02/05/2021
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