Organization
GAP COMMUNITY COLLECTIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYNA JOHNSON (CEO)
(937) 271-1089
Entity
Organization
Contact information
Practice address
436 WARREN ST STE 178, DAYTON, OH 45402-2808
(937) 271-1089
Mailing address
436 WARREN ST STE 178, DAYTON, OH 45402-2808
(937) 271-1089
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
251V00000X
Voluntary or Charitable Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
—
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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