Organization
CSW BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA GARD (DESIGNATED AGENT)
(937) 751-6639
Entity
Organization
Contact information
Practice address
1320 WOODMAN DR, DAYTON, OH 45432-3497
(937) 751-6639
(937) 424-0279
Mailing address
1320 WOODMAN DR, DAYTON, OH 45432-3497
(937) 751-6639
(937) 424-0279
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
09/20/2012
Last updated
09/20/2012
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