Organization
CARITAS PEACE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN J SCANNELL (VICE PRESIDENT)
(502) 587-4883
Entity
Organization
Contact information
Practice address
2020 NEWBURG RD, LOUISVILLE, KY 40205-1803
(502) 451-3330
Mailing address
PO BOX 2587, LOUISVILLE, KY 40201-2587
(502) 451-3330
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
100236
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02021269
—
KY
Enumeration date
05/23/2007
Last updated
08/22/2020
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