Organization
MENTAL HEALTH SERVICES FOR CLARK CO INC.
Active
Other names
Mental Health Services for Clark and Madison Counties, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY L RIGGER (CEO)
(937) 399-9500
Entity
Organization
Contact information
Practice address
474 NORTH YELLOW SPRINGS STREET, SPRINGFIELD, OH 45504-2463
(937) 399-9500
(937) 342-4242
Mailing address
474 NORTH YELLOW SPRINGS STREET, SPRINGFIELD, OH 45504
(937) 399-9500
(937) 342-4242
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
PPH-05-2406
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2357962
—
OH
Enumeration date
10/31/2005
Last updated
05/11/2021
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