Mbhc Inc | |
27475 Holiday Ln Ste 2 Perrysburg OH 43551-3350 | |
(419) 872-0619 | |
(419) 872-2466 |
Full Name | Mbhc Inc |
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Speciality | Counselor |
Location | 27475 Holiday Ln Ste 2, Perrysburg, Ohio |
Authorized Official Name and Position | Charles S Burke (PRESIDENT) |
Authorized Official Contact | 4198720619 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mbhc Inc 27475 Holiday Ln Ste 2 Perrysburg OH 43551-3350 Ph: (419) 872-0619 | Mbhc Inc 27475 Holiday Ln Ste 2 Perrysburg OH 43551-3350 Ph: (419) 872-0619 |
NPI Number | 1457548224 |
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Provider Enumeration Date | 09/26/2007 |
Last Update Date | 09/26/2007 |
Medicare PECOS PAC ID | 0345408191 |
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Medicare Enrollment ID | O20120224000119 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457548224 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 35057923 (Ohio) | Primary |
Provider Name | Charles S Burke |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1164408175 PECOS PAC ID: 6608034459 Enrollment ID: I20120224000150 |
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