Organization
NORTHERN KENTUCKY BEHAVIORAL, LLC
Active
Other names
SUN Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
TOM ROURKE (SENIOR VP FOR DEVELOPMENT)
(972) 467-4461
Entity
Organization
Contact information
Practice address
820 DOLWICK DRIVE, ERLANGER, KY 41018
(732) 747-1800
Mailing address
PO BOX 4394, BRICK, NJ 08723-0016
(732) 747-1800
(732) 747-1818
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
06/06/2017
Last updated
09/03/2024
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