| Ulrf Psychiatric Foundation | |
|
401 E Chestnut St, Ste 610 Louisville KY 40202 | |
| (502) 933-6400 | |
| Not Available |
| Full Name | Ulrf Psychiatric Foundation |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 401 E Chestnut St, Ste 610, Louisville, Kentucky |
| Authorized Official Name and Position | Toni Ganzel (EVP OF HEALTH AFFAIRS) |
| Authorized Official Contact | 5025880320 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ulrf Psychiatric Foundation Po Box 909 Louisville KY 40201-0909 Ph: (502) 588-0320 | Ulrf Psychiatric Foundation 401 E Chestnut St, Ste 610 Louisville KY 40202 Ph: (502) 933-6400 |
| NPI Number | 1265863617 |
|---|---|
| Provider Enumeration Date | 12/11/2013 |
| Last Update Date | 01/30/2023 |
| Certification Date | 01/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265863617 | NPI | - | NPPES |
| 7100041600 | Medicaid | KY |
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