Organization
USPIRITUS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY-KATE O'LEARY MA (PRESIDENT/C.E.O.)
(502) 451-5177
Entity
Organization
Contact information
Practice address
3121 BROOKLAWN CAMPUS DR, LOUISVILLE, KY 40218-1282
(502) 451-5177
(502) 451-0896
Mailing address
3121 BROOKLAWN CAMPUS DR, LOUISVILLE, KY 40218-1282
(502) 451-5177
(502) 451-0896
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100254620
—
KY
05
—
7100254660
—
KY
05
—
7100254670
—
KY
05
—
7100254680
—
KY
05
—
7100254690
—
KY
Enumeration date
01/29/2014
Last updated
01/29/2014
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