Organization
FLORENCE CRITTENTON HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER CONNOR LCSW (THERAPIST/PROGRAM DIRECTOR)
(859) 252-8636
Entity
Organization
Contact information
Practice address
519 W FOURTH ST, LEXINGTON, KY 40508-1205
(859) 252-8636
(859) 252-5546
Mailing address
519 W FOURTH ST, LEXINGTON, KY 40508-1205
(859) 252-8636
(859) 252-5546
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
500066
KY
Other
Enumeration date
09/15/2011
Last updated
09/15/2011
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