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GREEN RIVER REGIONAL MENTAL HEALTH/MENTAL RETARDATION BOARD INC. NPI 1154487304


NPI Information

NPI: 1154487304
Provider Name: GREEN RIVER REGIONAL MENTAL HEALTH/MENTAL RETARDATION BOARD, INC.

Doing Business As: RIVERVALLEY BEHAVIORAL HEALTH

Classification: Clinic/Center - 261QM0855X
Entity Type: Organization

Specialization: Adolescent and Children Mental Health

CLIA Number: 18D1066536

Address:
1100 WALNUT ST
OWENSBORO, KY
ZIP 42301
Phone: (270) 689-6500
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GREEN RIVER REGIONAL MENTAL HEALTH/MENTAL RETARDATION BOARD, INC. is an adolescent and children mental health clinic center in Owensboro, KY. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. GREEN RIVER REGIONAL MENTAL HEALTH/MENTAL RETARDATION BOARD, INC. NPI is 1154487304. The provider is registered as an organization entity type.
The provider Is Doing Business As Rivervalley Behavioral Health.

The provider's business location address is:

1100 WALNUT ST
OWENSBORO, KY
ZIP 42301-956
Phone: (270) 689-6500

The provider's authorized official is Michael Robert Huth .
The authorized official title is Cfo and has the following contact phone number (270) 689-6500.

The CLIA number assigned to this NPI record is 18D1066536 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/29/2006 and was last updated on 9/1/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0855XClinic/CenterAdolescent and Children Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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