Northern Kentucky Mental Health Mental Retardation Regional Board

NPI 1083816888 - Clinic/Center - 261QM0801X

NPI Details
NPI 1083816888
Enumeration Date 06/04/2007
Last Updated 02/25/2015
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name OWEN T OWEN
Position CEO
Phone (859) 578-3200
Fax (859) 578-3273
Practice Location
503 FARRELL DRIVE
COVINGTON KY, 41011, US
Phone (859) 578-3200
Fax (859) 578-3273
Business Location
503 FARRELL DRIVE
COVINGTON KY, 41011, US
Phone (859) 578-3200
Fax (859) 578-3273
Toxanomy
Taxonomy Code 261QM0801X
License State Kentucky
License Number 800084
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According to our database, Northern Kentucky Mental Health Mental Retardation Regional Board NPI is 1083816888, taxonomy code is 261QM0801X and license number is 800084, license state is located at Kentucky. Northern Kentucky Mental Health Mental Retardation Regional Board physically located at 503 Farrell Drive, Covington KY, 41011. NPI Number 1033115704 has the healthcare provider type.

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1083816888 NPI number is provided on an as is basis without warranty of any kind. 1083816888 is maintained by the National Plan & Provider Enumeration System. The contents of Northern Kentucky Mental Health Mental Retardation Regional Board are for informational purposes only.