Northern Kentucky Mental Health Mental Retardation Regional Board

NPI #1679775514 in Covington, Kentucky

Provider Information

NPI Number: 1679775514
Entity Type: Organization
Organization Name: Northern Kentucky Mental Health Mental Retardation Regional Board
Subpart: Yes (part of a larger organization)
Parent Organization: NORTHERN KENTUCKY MENTAL HEALTH MENTAL RETARDATION REGIONAL BOARD
Primary Specialty: Psychiatric Hospital
Enumeration Date: Jun 4, 2007
Last Updated: May 18, 2015

Practice Location

Address: 503 FARRELL DR
City: Covington
State: Kentucky
ZIP Code: 41011-3775
Phone: (859) 578-3200

Authorized Official

Name: OWEN T NICHOLS, PSY.D.
Title: PRESIDENT
Phone: (859) 578-3200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychiatry & Neurology - Psychiatry — Psychiatry	2084P0800X
Clinical Nurse Specialist - Psychiatric/Mental Health, Community — Psychiatric/Mental Health, Community	364SP0812X
Psychiatric Hospital	283Q00000X	Primary

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