Organization
MATT TALBOT HOUSE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY COX (DIRECTOR)
(937) 322-0872
Entity
Organization
Contact information
Practice address
809 SOUTH LIMESTONE STREET, SPRINGFIELD, OH 45501
(937) 322-0872
Mailing address
809 SOUTH LIMESTONE STREET, PO BOX 1301, SPRINGFIELD, OH 45501
(937) 322-0872
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
10/05/2006
Last updated
08/22/2020
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