Organization
IM IN CONTROL BEHAVIORAL HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NSILULU JACKSON (EXECUTIVE DIRECTOR)
(937) 222-5680
Entity
Organization
Contact information
Practice address
111 W 1ST ST, DAYTON, OH 45402-1154
(937) 222-5680
Mailing address
111 W 1ST ST, DAYTON, OH 45402-1154
(937) 222-5680
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/27/2017
Last updated
07/21/2022
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