| South Community Behavioral Healthcare | |
|
3095 Kettering Blvd Moraine OH 45439-1983 | |
| (937) 252-0100 | |
| Not Available |
| Full Name | South Community Behavioral Healthcare |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3095 Kettering Blvd, Moraine, Ohio |
| Authorized Official Name and Position | Barbara L Crabill (PROGRAM MANAGER/STUDENT PLACEMENTS) |
| Authorized Official Contact | 9375341572 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Community Behavioral Healthcare 3095 Kettering Blvd Moraine OH 45439-1983 Ph: () - | South Community Behavioral Healthcare 3095 Kettering Blvd Moraine OH 45439-1983 Ph: (937) 252-0100 |
| NPI Number | 1447596713 |
|---|---|
| Provider Enumeration Date | 12/14/2012 |
| Last Update Date | 12/14/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447596713 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 101Y00000X (Ohio) | Primary |
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