| South Community | |
|
2745 S Smithville Rd Kettering OH 45420-2668 | |
| (937) 258-4246 | |
| Not Available |
| Full Name | South Community |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2745 S Smithville Rd, Kettering, Ohio |
| Authorized Official Name and Position | Melissa Buck (YPH PROGRAM MANAGER) |
| Authorized Official Contact | 9372584246 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Community 8130 Towson Blvd Miamisburg OH 45342-6120 Ph: () - | South Community 2745 S Smithville Rd Kettering OH 45420-2668 Ph: (937) 258-4246 |
| NPI Number | 1003211061 |
|---|---|
| Provider Enumeration Date | 11/01/2014 |
| Last Update Date | 11/01/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003211061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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