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Organization
GEM CITY RECOVERY
Active
Organization
GEM CITY RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER MEZZANATTO (OWNER)
(951) 543-3830
Entity
Organization
Contact information
Practice address
737 MAPLEHURST AVE, DAYTON, OH 45402-5546
(951) 543-3830
Mailing address
737 MAPLEHURST AVE, DAYTON, OH 45402-5546
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
Other
Enumeration date
07/21/2025
Last updated
07/21/2025
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