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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 Counties, 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
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
261QP2300X
Primary Care Clinic/Center
—
NULL
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
NULL
Other
Enumeration date
11/01/2005
Last updated
05/11/2021
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