Organization
USPIRITUS- BROOKLAWN- MAGNOLIA
Active
Parent organization
USPIRITUS, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
USPIRITUS, INC
Authorized official
JILLIAN DETHERAGE (DIRECTOR OF COMPLIANCE & QI)
(502) 515-0425
Entity
Organization
Contact information
Practice address
2111 GOLDSMITH LN, LOUISVILLE, KY 40218-1206
(502) 451-5177
Mailing address
3121 BROOKLAWN CAMPUS DR, LOUISVILLE, KY 40218-1282
(502) 451-5177
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/23/2026
Last updated
02/23/2026
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