Organization
MIDWEST COUNSELING CENTER OH, LCC
Active
Organization
MIDWEST COUNSELING CENTER OH, LCC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER FOSTER (CEO)
(781) 558-8696
Entity
Organization
Contact information
Practice address
5200 CAMELOT DR, FAIRFIELD, OH 45014-4009
(781) 558-8696
Mailing address
15813 72ND AVE FL 2, FRESH MEADOWS, NY 11365-4100
(781) 558-8696
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
12/31/2024
Last updated
12/31/2024
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