| Fairborn Mental Health Llc | |
|
323 N Broad St Fairborn OH 45324-4934 | |
| (937) 318-8013 | |
| (937) 867-5268 |
| Full Name | Fairborn Mental Health Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 323 N Broad St, Fairborn, Ohio |
| Authorized Official Name and Position | Sheila Rae Dunn (CEO) |
| Authorized Official Contact | 9373188103 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairborn Mental Health Llc 323 N Broad St Fairborn OH 45324-4934 Ph: (937) 318-8013 | Fairborn Mental Health Llc 323 N Broad St Fairborn OH 45324-4934 Ph: (937) 318-8013 |
| NPI Number | 1134776685 |
|---|---|
| Provider Enumeration Date | 08/20/2019 |
| Last Update Date | 08/20/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134776685 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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