Organization
MARYHURST INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER WHITE (UM MANAGER)
(502) 271-4583
Entity
Organization
Contact information
Practice address
2108 DAVID GRAVES DRIVE, LOUISVILLE, KY 40218
(502) 245-1576
Mailing address
1015 DORSEY LN, LOUISVILLE, KY 40223-2612
(502) 245-1576
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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