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. (PRESIDENT)
(859) 578-3200
Entity
Organization
Contact information
Practice address
503 FARRELL DR, COVINGTON, KY 41011-3775
(859) 578-3200
Mailing address
503 FARRELL DR, COVINGTON, KY 41011-3775
(859) 578-3200
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
800084
KY
283Q00000X
Psychiatric Hospital
Primary
100265
KY
364SP0812X
Community Psychiatric/Mental Health Clinical Nurse Specialist
800084
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02021350
—
KY
Enumeration date
06/04/2007
Last updated
05/18/2015
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