Organization
PRESBYTERIAN CHILD WELFARE AGENCY
Active
Other names
Buckhorn Children and Family Services
Organization subpart
No
Provider details
NPI number
Authorized official
MITCH SMITH (CFO)
(606) 398-7000
Entity
Organization
Contact information
Practice address
116 BUCKHORN LN, BUCKHORN, KY 41721-8987
(606) 398-7000
(606) 398-7912
Mailing address
116 BUCKHORN LN, BUCKHORN, KY 41721-8987
(606) 398-7000
(606) 398-7912
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
552
OH
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
097123960(1)
KY
323P00000X
Psychiatric Residential Treatment Facility
097122583(2)
KY
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04097010
—
KY
05
—
04097028
—
KY
05
—
12394
—
OH
05
—
7100258860
—
KY
05
—
7100258880
—
KY
01
—
810858
KY OIG - OUTPATIENT AODE
KY
01
—
810859
KY OIG - OUTPATIENT AODE
KY
Enumeration date
03/12/2007
Last updated
08/13/2021
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