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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