Organization
CENTRAL OHIO MENTAL HEALTH CTR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA M DORNON (CREDENTIALING SPECIALIST)
(740) 368-7834
Entity
Organization
Contact information
Practice address
250 S HENRY ST, DELAWARE, OH 43015-2978
(740) 369-4482
(740) 368-7835
Mailing address
824 BOWTOWN RD, DELAWARE, OH 43015
(740) 369-7688
(740) 363-6415
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
293114
—
OH
Enumeration date
05/01/2006
Last updated
08/15/2012
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