Organization Name: | THE PENNYRILE CHILDREN'S ADVOCACY CENTER |
NPI Number: | 1407997331 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAWN TUCKER (EXECUTIVE DIRECTOR) |
Mailing Address: | 409 E 7th St Hopkinsville |
State: | KY US |
Postal Code: | 422403438 |
Phone Number: | 2708811111 |
Fax Number: | 2708811105 |
NPI Enumeration Date: | 02/12/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |