Organization
CIRCLE OF PEACE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATISHA L ROBINSON (PROGRAM DIRECTOR)
(937) 307-2973
Entity
Organization
Contact information
Practice address
92 W FLOYD AVE, DAYTON, OH 45415-3436
(937) 307-2973
Mailing address
92 W FLOYD AVE, DAYTON, OH 45415-3436
(937) 307-2973
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
10/01/2024
Last updated
10/01/2024
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