Organization Name: | PSYCHIATRIC CENTER INC. |
NPI Number: | 1073634341 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAY VALLABH NAROLA (OWNER) |
Mailing Address: | 1330 S Mayo Trl Nova Complex Suite 301 Pikeville |
State: | KY US |
Postal Code: | 415012321 |
Phone Number: | 6064327233 |
Fax Number: | 6064327255 |
NPI Enumeration Date: | 04/03/2007 |
NPI Last Update Date: | 01/15/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SP0809X |
License Number: | 3002856 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Psych/Mental Health, Adult |
Taxonomy Definition: |