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Contact Information

SPECTRUM CARE ACADEMY OF E-TOWN
461 FOWLER LANE
ELIZABETHTOWN, KY42701-8546
 Phone: 714-673-5035
 Fax: 270-234-0781
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric Residential Treatment Facility

323P00000X
Indicates primary specialty

NPI Profile & details for SPECTRUM CARE ACADEMY OF E-TOWN

NPI Number 1720298342
LBN Legal business name SPECTRUM CARE ACADEMY OF E-TOWN
Authorized official REBECCA PERALTA - (OWNER/EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 05/23/2007
Last updated 10/27/2025 - About 7 months ago
Identifiers
KY License # 950019
KY Medicaid 04000030
KY Medicaid 7101079920
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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