| Calvary Behavioral Health Of Ohio, Llc | |
|
7547 Central Parke Blvd Mason OH 45040-6811 | |
| (513) 993-0341 | |
| Not Available |
| Full Name | Calvary Behavioral Health Of Ohio, Llc |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 7547 Central Parke Blvd, Mason, Ohio |
| Authorized Official Name and Position | Branden Edward Heineman (DIRECTOR) |
| Authorized Official Contact | 5137539964 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Calvary Behavioral Health Of Ohio, Llc 7547 Central Parke Blvd Mason OH 45040-6811 Ph: (513) 993-0341 | Calvary Behavioral Health Of Ohio, Llc 7547 Central Parke Blvd Mason OH 45040-6811 Ph: (513) 993-0341 |
| NPI Number | 1487251088 |
|---|---|
| Provider Enumeration Date | 10/06/2020 |
| Last Update Date | 07/31/2023 |
| Certification Date | 07/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487251088 | NPI | - | NPPES |
| 0008641 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Primary |
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