# GREEN RIVER REGIONAL MENTAL HEALTH/MENTAL RETARDATION BOARD, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** RiverValley Behavioral Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356383111
- **Authorized official:** J. MICHAEL MOUNTAIN (CFO)
- **Authorized official phone:** (270) 689-6500

## Contact information

- **Practice address:** 1224 VENABLE AVE, OWENSBORO, KY 42301-2756
- **Practice address phone:** (270) 685-2203
- **Mailing address:** PO BOX 1637, OWENSBORO, KY 42302-1637
- **Mailing address phone:** (270) 685-2203

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | 950005 | KY | Yes |

## Other

- **Enumeration date:** 06/13/2006
- **Last updated:** 06/11/2012
