Provider Demographics
NPI:1366977464
Name:FLOYD COUNTY GOVERNMENT
Entity type:Organization
Organization Name:FLOYD COUNTY GOVERNMENT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LEAH
Authorized Official - Middle Name:
Authorized Official - Last Name:PEZZAROSSI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-948-5481
Mailing Address - Street 1:2524 CORYDON PIKE
Mailing Address - Street 2:SUITE 108
Mailing Address - City:NEW ALBANY
Mailing Address - State:IN
Mailing Address - Zip Code:47150-6126
Mailing Address - Country:US
Mailing Address - Phone:812-948-5481
Mailing Address - Fax:812-948-5427
Practice Address - Street 1:2524 CORYDON PIKE
Practice Address - Street 2:SUITE 108
Practice Address - City:NEW ALBANY
Practice Address - State:IN
Practice Address - Zip Code:47150-6126
Practice Address - Country:US
Practice Address - Phone:812-948-5481
Practice Address - Fax:812-948-5427
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FLOYD COUNTY GOVERNMENT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-04-26
Last Update Date:2017-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health