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

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1629134663
- **Authorized official:** ERIC HICKS (CFO)
- **Authorized official phone:** (270) 689-6540

## Contact information

- **Practice address:** 1100 WALNUT ST, OWENSBORO, KY 42301-2956
- **Practice address phone:** (270) 689-6500
- **Mailing address:** PO BOX 1637, OWENSBORO, KY 42302-1637
- **Mailing address phone:** (270) 689-6500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QD1600X | Developmental Disabilities Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/27/2006
- **Last updated:** 04/03/2024