Organization · NPI-2
Pennyroyal Services
Clinic/Center, Adult Mental Health · Hopkinsville, KY
NPI number1336463421
StatusActive
Last updated in NPPESMar 18, 2010
Details
- NPI
- 1336463421
- Entity type
- Organization (NPI-2)
- Legal business name
- Pennyroyal Services
- Organization subpart
- No
- Enumeration date
- Mar 18, 2010
- Last updated
- Mar 18, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0850X | Clinic/Center, Adult Mental Health | 800002 | KY | Yes |
Other names
- Pennyroyal Mental Health Center (Other Name)
Practice location
735 North DrHopkinsville, KY 42240-2620
Phone 270-886-2205 · Fax 270-886-5178
Mailing address
735 North DrHopkinsville, KY 42240-2620
Phone 270-886-2205 · Fax 270-886-5178
Authorized official
David M Ptaszek
Executive Director
2708862205
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