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Organization

NORTHERN KENTUCKY BEHAVIORAL, LLC

Active
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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
261QM0855X
Adolescent and Children Mental Health Clinic/Center
283Q00000X
Psychiatric Hospital
Primary
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Enumeration date
06/06/2017
Last updated
05/18/2026
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