Organization
NORTHERN KENTUCKY MENTAL HEALTH MENTAL RETARDATION REGIONAL BOARD
Active
Organization
NORTHERN KENTUCKY MENTAL HEALTH MENTAL RETARDATION REGIONAL BOARD
Active
Parent organization
NORTHERN KENTUCKY MENTAL HEALTH MENTAL RETARDATION REGIONAL BOARD
Other names
Northkey Community Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHERN KENTUCKY MENTAL HEALTH MENTAL RETARDATION REGIONAL BOARD
Authorized official
OWEN T NICHOLS PSY.D (CEO)
(859) 578-3252
Entity
Organization
Contact information
Practice address
503 FARRELL DRIVE, COVINGTON, KY 41011
(859) 578-3200
(859) 578-3273
Mailing address
503 FARRELL DRIVE, COVINGTON, KY 41011
(859) 578-3200
(859) 578-3273
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
800084
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
27007012
—
KY
Enumeration date
06/04/2007
Last updated
02/25/2015
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