| Lifespan, Inc | |
|
1900 Fairgrove Ave Hamilton OH 45011-1966 | |
| (513) 868-3210 | |
| (513) 868-3249 |
| Full Name | Lifespan, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1900 Fairgrove Ave, Hamilton, Ohio |
| Authorized Official Name and Position | William Staler (CEO) |
| Authorized Official Contact | 5138683210 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifespan, Inc 1900 Fairgrove Ave Hamilton OH 45011-1966 Ph: () - | Lifespan, Inc 1900 Fairgrove Ave Hamilton OH 45011-1966 Ph: (513) 868-3210 |
| NPI Number | 1750649521 |
|---|---|
| Provider Enumeration Date | 04/30/2012 |
| Last Update Date | 04/30/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750649521 | NPI | - | NPPES |
| 2864431 | Medicaid | OH |
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