Organization
PROFESSIONAL PSYCHIATRIC SERVICES, LLC
Active
Parent organization
PROFESSIONAL PSYCHIATRIC SERVICES LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROFESSIONAL PSYCHIATRIC SERVICES LLC
Authorized official
MOHAMED ABDEL AZIZ MD (CEO / OWNER)
(513) 229-7585
Entity
Organization
Contact information
Practice address
9117 CINCINNATI COLUMBUS RD, WEST CHESTER, OH 45069-3701
(513) 229-7585
(513) 229-7731
Mailing address
PO BOX 808, MASON, OH 45040-0808
(513) 229-7585
(513) 229-7731
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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