| Warren Outpatient Services | |
|
759 Columbus Ave Lebanon OH 45036-1754 | |
| (513) 932-4337 | |
| (513) 932-6750 |
| Full Name | Warren Outpatient Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 759 Columbus Ave, Lebanon, Ohio |
| Authorized Official Name and Position | Shane Michael Anderson (CLINICAL SERVICE PROVIDER) |
| Authorized Official Contact | 5139324337 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Warren Outpatient Services 759 Columbus Ave Lebanon OH 45036-1754 Ph: (513) 932-4337 | Warren Outpatient Services 759 Columbus Ave Lebanon OH 45036-1754 Ph: (513) 932-4337 |
| NPI Number | 1104057280 |
|---|---|
| Provider Enumeration Date | 08/06/2009 |
| Last Update Date | 08/06/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104057280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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