Organization
BLUEGRASS REGIONAL PSYCHIATRIC SERVICES INC.
Active
Other names
Eastern State Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ERICA L ODUSANYA M.H.A (FISCAL OFFICE MANAGER)
(859) 246-7363
Entity
Organization
Contact information
Practice address
627 W FOURTH ST, LEXINGTON, KY 40508-1294
(859) 246-7363
(859) 246-7023
Mailing address
627 W FOURTH ST, LEXINGTON, KY 40508-1294
(859) 246-7363
(859) 246-7023
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Enumeration date
06/26/2006
Last updated
08/22/2020
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