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Organization
SOUTH SUBURBAN MENTAL HEALTH GROUP
Active
Organization
SOUTH SUBURBAN MENTAL HEALTH GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK A CURTIS APRN, CNS (PRESIDENT)
(937) 291-1351
Entity
Organization
Contact information
Practice address
180 E SPRING VALLEY RD, STE B, CENTERVILLE, OH 45458-3803
(937) 291-1351
(937) 291-1719
Mailing address
180 E SPRING VALLEY RD, STE B, CENTERVILLE, OH 45458-3803
(937) 291-1351
(937) 291-1719
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
2084P0800X
Psychiatry Physician
35083573
OH
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
364SP0807X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
—
—
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Enumeration date
05/25/2006
Last updated
03/02/2009
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