Organization
BEHAVIORAL HEALTHCARE PARTNERS OF CENTRAL OHIO, INC.
Active
Other names
Moundbuilder Guidance Center, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
BETTY PATTERSON (CREDENTIALING SPECIALIST)
(740) 788-0265
Entity
Organization
Contact information
Practice address
1445 W MAIN ST, NEWARK, OH 43055-1989
(740) 522-8477
(740) 788-3424
Mailing address
PO BOX 4670, NEWARK, OH 43058-4670
(740) 522-8477
(740) 788-3424
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
35037464
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063479079
BEHAVIORAL HEALTH NPI
OH
Enumeration date
02/18/2013
Last updated
02/18/2013
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