| Sc Coleman Llc | |
|
1 Elizabeth Pl Dayton OH 45417-3445 | |
| (502) 953-7203 | |
| Not Available |
| Full Name | Sc Coleman Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1 Elizabeth Pl, Dayton, Ohio |
| Authorized Official Name and Position | Shantress Coleman (CEO) |
| Authorized Official Contact | 5029537203 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sc Coleman Llc 1 Elizabeth Pl Dayton OH 45417-3445 Ph: (502) 953-7203 | Sc Coleman Llc 1 Elizabeth Pl Dayton OH 45417-3445 Ph: (502) 953-7203 |
| NPI Number | 1821758038 |
|---|---|
| Provider Enumeration Date | 12/29/2021 |
| Last Update Date | 12/29/2021 |
| Certification Date | 12/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821758038 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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