Green River Regional Mental Health/mental Retardation Board, Inc.

NPI #1427493964 in Owensboro, Kentucky

Provider Information

NPI Number: 1427493964
Entity Type: Organization
Organization Name: Green River Regional Mental Health/mental Retardation Board, Inc.
Primary Specialty: Clinic/Center - Developmental Disabilities
Enumeration Date: May 9, 2013
Last Updated: May 9, 2013

Practice Location

Address: 1100 WALNUT ST
City: Owensboro
State: Kentucky
ZIP Code: 42301-2956
Phone: (270) 689-6500

Authorized Official

Name: J. MICHAEL MOUNTAIN
Title: CFO
Phone: (270) 689-6649

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Developmental Disabilities — Developmental Disabilities	261QD1600X	Primary

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