Organization
NOVA BEHAVIORAL HEALTH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HERBERT RICKABAUGH (CHIEF FINANCIAL OFFICER)
(937) 253-1680
Entity
Organization
Contact information
Practice address
732 BECKMAN STREET, DAYTON, OH 45410-2165
(937) 253-1680
(937) 252-1337
Mailing address
732 BECKMAN STREET, DAYTON, OH 45410-2165
(937) 253-1680
(937) 252-1337
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
10-2063
OH
324500000X
Substance Abuse Rehabilitation Facility
Primary
1407
OH
324500000X
Substance Abuse Rehabilitation Facility
PROVIDER 1407
OH
Other
Enumeration date
05/31/2006
Last updated
09/07/2012
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