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Organization
MENTAL HEALTH SERVICES FOR CLARK CO INC
Active
Organization
MENTAL HEALTH SERVICES FOR CLARK CO INC
Active
Other names
Mental Health Services for Clark and Madison Cos, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY L RIGGER (CEO)
(937) 399-9500
Entity
Organization
Contact information
Practice address
474 N YELLOW SPRINGS STREET, SPRINGFIELD, OH 45504-2463
(937) 399-9500
(937) 342-4242
Mailing address
474 N YELLOW SPRINGS STREET, SPRINGFIELD, OH 45504-2463
(937) 399-9500
(937) 342-4242
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
NULL
251S00000X
Community/Behavioral Health Agency
0006
OH
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/18/2012
Last updated
05/11/2021
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