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Organization

CALVARY BEHAVIORAL HEALTH OF OHIO, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRANDEN EDWARD HEINEMAN (DIRECTOR)
(513) 753-9964
Entity
Organization

Contact information

Practice address
7547 CENTRAL PARKE BLVD, MASON, OH 45040-6811
(513) 993-0341
Mailing address
7547 CENTRAL PARKE BLVD, MASON, OH 45040-6811
(513) 993-0341

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0008641
OH
Enumeration date
10/06/2020
Last updated
04/07/2025
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