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729 S Walnut St Marysville OH 43040-1643 | |
| (937) 642-9555 | |
| (937) 738-7326 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 729 S Walnut St, Marysville, Ohio |
| Authorized Official Name and Position | Jullian Griesheimer (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9376429555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
729 S Walnut St Marysville OH 43040-1643 Ph: (937) 642-9555 | 729 S Walnut St Marysville OH 43040-1643 Ph: (937) 642-9555 |
| NPI Number | 1104213925 |
|---|---|
| Provider Enumeration Date | 04/20/2015 |
| Last Update Date | 09/24/2020 |
| Certification Date | 08/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104213925 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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