Organization
INNERFIELD CARE AND CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANTAE M WILLIAMS NP (EMPLOYEE)
(937) 684-7105
Entity
Organization
Contact information
Practice address
903 N KEOWEE ST, DAYTON, OH 45404-1518
(937) 789-9326
Mailing address
2890 E DOROTHY LN, DAYTON, OH 45420-3814
(937) 684-7105
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
—
0437055
—
OH
Enumeration date
07/13/2022
Last updated
07/26/2022
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