Organization
EVERGREEN SOUTHWEST BEHAVIORAL HEALTH SERVICES LLC
Active
Parent organization
EVERGREEN SOUTHWEST BEHAVIORALHEALTH SERVICES LLC
Other names
Bridgewell Hospital of Cincinnati
Organization subpart
Yes
Provider details
NPI number
Legal business name
EVERGREEN SOUTHWEST BEHAVIORALHEALTH SERVICES LLC
Authorized official
MS. ELIZABETH DARLENE MITCHELL M.H.A. (COO/ADMINISTRATOR)
(513) 531-6444
Entity
Organization
Contact information
Practice address
5500 VERULAM AVE, CINCINNATI, OH 45213-2418
(513) 531-6444
(513) 531-9444
Mailing address
2 MIRANOVA PL, SUITE 310, COLUMBUS, OH 43215-5078
(614) 334-6196
(614) 461-7168
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
OH
Other
Enumeration date
05/21/2009
Last updated
05/11/2010
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