FORT THOMAS PRRTP (3528) INSTITUTION (4)

Name	Value
NAME	FORT THOMAS PRRTP
STATE	KENTUCKY
STREET ADDR. 1	1000 S FORT THOMAS AVE
CITY	FORT THOMAS
ZIP	41075-2305
OFFICIAL VA NAME	FORT THOMAS PRRTP
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 10 PARENT FACILITY PARENT OF ASSOCIATION: CINCINNATI
BILLING FACILITY NAME	FORT THOMAS VA CARE SITE
EFFECTIVE DATE/TIME	2013-10-01 00:00:00 STATUS: ACTIVE NPI: 1568822955
TAXONOMY CODE	Residential Treatment Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	EASTERN
COUNTRY	USA
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	539BV