Organization
AM BEHAVIORAL OUTPATIENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RACHEL COSTELLO MS, PH.D., LPCC-S (ADMINISTRATOR)
(937) 231-1838
Entity
Organization
Contact information
Practice address
6210 BELLEFONTAINE RD, HUBER HEIGHTS, OH 45424-4009
(937) 236-1800
(937) 237-1312
Mailing address
6210 BELLEFONTAINE RD, HUBER HEIGHTS, OH 45424-4009
(937) 236-1800
(937) 237-1312
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/18/2023
Last updated
09/21/2023
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