| Crn Of Warren | |
|
201 W. Frnaklin Street Suite B Centerville OH 45459 | |
| (937) 672-1424 | |
| (234) 806-4504 |
| Full Name | Crn Of Warren |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 201 W. Frnaklin 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 Of Warren 201 W. Franklin Street Suite B Centerville OH 45459 Ph: (937) 672-1424 | Crn Of Warren 201 W. Frnaklin Street Suite B Centerville OH 45459 Ph: (937) 672-1424 |
| NPI Number | 1871005306 |
|---|---|
| Provider Enumeration Date | 10/24/2017 |
| Last Update Date | 12/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871005306 | NPI | - | NPPES |
| 0258381 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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