| Kettering Behavioral Medicine Center | |
|
5350 Lamme Rd Moraine OH 45439-3215 | |
| (937) 534-4632 | |
| (937) 534-4609 |
| Full Name | Kettering Behavioral Medicine Center |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 5350 Lamme Rd, Moraine, Ohio |
| Authorized Official Name and Position | Timothy Y Ko (CFO) |
| Authorized Official Contact | 9375583223 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kettering Behavioral Medicine Center 1 Prestige Place Suite 550 Miamisburg OH 45342-6115 Ph: (937) 762-1300 | Kettering Behavioral Medicine Center 5350 Lamme Rd Moraine OH 45439-3215 Ph: (937) 534-4632 |
| NPI Number | 1780852228 |
|---|---|
| Provider Enumeration Date | 02/19/2008 |
| Last Update Date | 11/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780852228 | NPI | - | NPPES |
| 2379313 | Medicaid | OH |
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