| Crn Healthcare, Inc. | |
|
201 W. Franklin Street Suite B Centerville OH 45459 | |
| (937) 672-1424 | |
| (234) 806-4504 |
| Full Name | Crn Healthcare, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 201 W. Franklin Street, Centerville, Ohio |
| Authorized Official Name and Position | Keith Anthony Vukasinovich (BUSINESS MANAGER/CLINICAL MANAGER) |
| Authorized Official Contact | 9376721424 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crn Healthcare, Inc. 201 W. Franklin Street Suite B Centerville OH 45459 Ph: (937) 672-1424 | Crn Healthcare, Inc. 201 W. Franklin Street Suite B Centerville OH 45459 Ph: (937) 672-1424 |
| NPI Number | 1760974349 |
|---|---|
| Provider Enumeration Date | 05/31/2018 |
| Last Update Date | 12/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760974349 | NPI | - | NPPES |
| 0290561 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 14345 (Ohio) | Primary |
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