| Purchase Youth Village | |
|
473 Old Symsonia Rd Benton KY 42025-5044 | |
| (270) 252-7400 | |
| Not Available |
| Full Name | Purchase Youth Village |
|---|---|
| Speciality | Psychiatric Residential Treatment Facility |
| Location | 473 Old Symsonia Rd, Benton, Kentucky |
| Authorized Official Name and Position | Stephanie Trexler (HUMAN RESOURCE DIRECTO) |
| Authorized Official Contact | 2702527400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Purchase Youth Village Po Box 340 Elizabethtown KY 42702-0340 Ph: (270) 252-7400 | Purchase Youth Village 473 Old Symsonia Rd Benton KY 42025-5044 Ph: (270) 252-7400 |
| NPI Number | 1659810810 |
|---|---|
| Provider Enumeration Date | 02/20/2017 |
| Last Update Date | 10/13/2020 |
| Certification Date | 10/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659810810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Secondary |
| 323P00000X | Psychiatric Residential Treatment Facility | (Kentucky) | Primary |
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