| Foundations Behavioral Health Services, Inc. | |
|
4761 State Route 29 Celina OH 45822-8216 | |
| (419) 584-1000 | |
| (419) 584-1825 |
| Full Name | Foundations Behavioral Health Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4761 State Route 29, Celina, Ohio |
| Authorized Official Name and Position | Diane Gable (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4195841000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foundations Behavioral Health Services, Inc. 4761 State Route 29 Celina OH 45822-8216 Ph: () - | Foundations Behavioral Health Services, Inc. 4761 State Route 29 Celina OH 45822-8216 Ph: (419) 584-1000 |
| NPI Number | 1790032472 |
|---|---|
| Provider Enumeration Date | 08/13/2012 |
| Last Update Date | 12/14/2020 |
| Certification Date | 12/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790032472 | NPI | - | NPPES |
| 0057776 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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