Organization
CRESTVIEW MENTAL HEALTH OF OHIO, LLC
Active
Organization
CRESTVIEW MENTAL HEALTH OF OHIO, LLC
Active
Other names
Mason Family Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON GOLDER (PARTNER/CEO)
(719) 717-7113
Entity
Organization
Contact information
Practice address
5134 CEDAR VILLAGE DR, MASON, OH 45040-3717
(513) 229-7900
Mailing address
5134 CEDAR VILLAGE DR, MASON, OH 45040-3717
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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