Organization
TCN BEHAVIORAL HEALTH SERVICE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDALL HASKINS (ASSOCIATE DIRECTOR)
(937) 376-8700
Entity
Organization
Contact information
Practice address
452 W MARKET ST, XENIA, OH 45385-2815
(937) 376-8700
(937) 376-0113
Mailing address
452 W MARKET ST, XENIA, OH 45385-2815
(937) 376-8700
(937) 376-0113
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2497614
—
OH
Enumeration date
03/25/2008
Last updated
03/25/2008
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