Organization
MONTGOMERY COUNTY COURT HOUSE
Active
Other names
Public Health-Dayton & Montgomery County - CADAS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY A COOPER MS (HEALTH COMMISSIONER)
(937) 225-5700
Entity
Organization
Contact information
Practice address
ONE ELIZABETH PLACE, DAYTON, OH 45408
(937) 461-5223
(937) 461-7010
Mailing address
117 S MAIN ST, FSO - SECOND FLOOR, DAYTON, OH 45422-2005
(937) 225-4543
(937) 496-3318
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01400
ADAMHS
OH
Enumeration date
12/14/2006
Last updated
04/02/2015
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