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730 W Market St Lima OH 45801-4602 | |
| (419) 226-9542 | |
| (419) 226-9741 |
| Full Name | |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 730 W Market St, Lima, Ohio |
| Authorized Official Name and Position | Kimberly Ralston (SYSTEM DIRECTORE) |
| Authorized Official Contact | 4199965119 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 636372 Cincinnati OH 45263-0001 Ph: (419) 226-9542 | 730 W Market St Lima OH 45801-4602 Ph: (419) 226-9542 |
| NPI Number | 1447276936 |
|---|---|
| Provider Enumeration Date | 07/15/2006 |
| Last Update Date | 01/13/2022 |
| Certification Date | 01/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447276936 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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