Organization
NOVA BEHAVIORAL HEALTH, INC.
Active
Other names
Nova House Association, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN W GORIS MS, LSW, LPCC-SC (CEO)
(937) 253-1680
Entity
Organization
Contact information
Practice address
732 BECKMAN ST, DAYTON, OH 45410-2165
(937) 253-1680
(937) 253-8990
Mailing address
732 BECKMAN ST, DAYTON, OH 45410-2165
(937) 253-1680
(937) 253-8990
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
10-2063
OH
324500000X
Substance Abuse Rehabilitation Facility
Primary
1407
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2942632
—
OH
Enumeration date
05/25/2012
Last updated
05/25/2012
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