Organization
SPECTRUM CARE ACADEMY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA LOY (ACCOUNTANT)
(270) 384-6402
Entity
Organization
Contact information
Practice address
399 FOWLER LN, ELIZABETHTOWN, KY 42701-8545
(270) 234-0591
(270) 234-0781
Mailing address
PO BOX 911, COLUMBIA, KY 42728-0911
(270) 384-6444
(270) 384-9126
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
950018
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04000022
—
KY
Enumeration date
05/21/2007
Last updated
08/22/2020
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