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Organization
COMMUNITY MENTAL HEALTH CENTER OF CLINTON COUNTY
Active
Organization
COMMUNITY MENTAL HEALTH CENTER OF CLINTON COUNTY
Active
Other names
MHRCCC
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD MCMONIGLE PCC (EXECUTIVE DIRECTOR)
(513) 228-7800
Entity
Organization
Contact information
Practice address
975 FUJITEC BLDG A, SUITE 1, LEBANON, OH 45036
(513) 228-7800
(513) 228-7848
Mailing address
975 FUJITEC BLDG A, SUITE 1, LEBANON, OH 45036
(513) 228-7800
(513) 228-7848
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
266
OH
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
83613
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2473998
—
OH
Enumeration date
02/27/2006
Last updated
10/29/2010
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