Organization
PLACES INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROY CRAIG M.A. (EXECUTIVE DIRECTOR)
(937) 461-4300
Entity
Organization
Contact information
Practice address
11 W MONUMENT AVE FL 7, SUITE 910, DAYTON, OH 45402-1274
(937) 461-4300
(937) 461-0443
Mailing address
11 W MONUMENT AVE, 7TH FLOOR, DAYTON, OH 45402-1274
(937) 461-4300
(937) 461-0443
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
0484
OH
Other
Enumeration date
02/15/2006
Last updated
07/07/2016
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