Organization
WARREN OUTPATIENT SERVICES
Active
Parent organization
TALBERT HOUSE
Organization subpart
Yes
Provider details
NPI number
Legal business name
TALBERT HOUSE
Authorized official
MR. SHANE MICHAEL ANDERSON LCDC III (CLINICAL SERVICE PROVIDER)
(513) 932-4337
Entity
Organization
Contact information
Practice address
759 COLUMBUS AVE, LEBANON, OH 45036-1754
(513) 932-4337
(513) 932-6750
Mailing address
759 COLUMBUS AVE, LEBANON, OH 45036-1754
(513) 932-4337
(513) 932-6750
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/06/2009
Last updated
08/06/2009
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