Organization
HOME OF THE INNOCENTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GORDON BROWN (PRESIDENT & CEO)
(502) 596-1000
Entity
Organization
Contact information
Practice address
1100 E. MARKET ST., LOUISVILLE, KY 40206
(502) 596-1000
(502) 596-1413
Mailing address
1100 E. MARKET ST., LOUISVILLE, KY 40206
(502) 596-1000
(502) 596-1413
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
500050
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12500989
—
KY
Enumeration date
10/19/2006
Last updated
08/06/2013
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