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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