Organization
ROCKING HORSE CHILDRENS HEALTH CENTER
Active
Other names
Rocking Horse Center, Rocking Horse Community Health Center, Rocking Horse Center SBHC/SOI SUD, Rocking Horse Community Health Center SBHC/SOI SUD
Organization subpart
No
Provider details
NPI number
Authorized official
SHONDA E WALLACE (CFO)
(937) 324-1111
Entity
Organization
Contact information
Practice address
601 SELMA RD, SPRINGFIELD, OH 45505-2034
(937) 324-7423
(937) 325-1097
Mailing address
651 S LIMESTONE ST, SPRINGFIELD, OH 45505-1965
(937) 324-1111
(937) 525-4541
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0277615
—
OH
Enumeration date
09/12/2014
Last updated
11/20/2024
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