Organization
OHIO RIVER HEALTH CENTER CORPORATION
Active
Organization
OHIO RIVER HEALTH CENTER CORPORATION
Active
Other names
Ohio River Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA ROBERTSON (MANAGER)
(502) 724-2018
Entity
Organization
Contact information
Practice address
4400 BRECKENRIDGE LN STE 102, LOUISVILLE, KY 40218-4082
(502) 724-2018
Mailing address
4400 BRECKENRIDGE LN STE 102, LOUISVILLE, KY 40218-4082
(502) 724-2018
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
207Q00000X
Family Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
811078
KENTUCKY - LICENSE
KY
Enumeration date
10/13/2022
Last updated
08/29/2023
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