| Advanced Therapeutic Services Inc | |
|
1320 Woodman Dr Ste 200 Dayton OH 45432 | |
| (937) 223-1781 | |
| (937) 853-0096 |
| Full Name | Advanced Therapeutic Services Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1320 Woodman Dr, Dayton, Ohio |
| Authorized Official Name and Position | Jeffrey Frank Kolaczkowski (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9372231781 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Therapeutic Services Inc 1320 Woodman Dr Ste 200 Dayton OH 45432 Ph: (937) 223-1781 | Advanced Therapeutic Services Inc 1320 Woodman Dr Ste 200 Dayton OH 45432 Ph: (937) 223-1781 |
| NPI Number | 1598746265 |
|---|---|
| Provider Enumeration Date | 11/09/2005 |
| Last Update Date | 03/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598746265 | NPI | - | NPPES |
| 2299196 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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