| Pennyroyal Services | |
|
735 North Dr Hopkinsville KY 42240-2620 | |
| (270) 886-2205 | |
| (270) 886-5178 |
| Full Name | Pennyroyal Services |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 735 North Dr, Hopkinsville, Kentucky |
| Authorized Official Name and Position | David M Ptaszek (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2708862205 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pennyroyal Services 735 North Dr Hopkinsville KY 42240-2620 Ph: (270) 886-2205 | Pennyroyal Services 735 North Dr Hopkinsville KY 42240-2620 Ph: (270) 886-2205 |
| NPI Number | 1336463421 |
|---|---|
| Provider Enumeration Date | 03/18/2010 |
| Last Update Date | 03/18/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336463421 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 800002 (Kentucky) | Primary |
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