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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