Organization
COMMUNITY HOSPITALS AND WELLNESS CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP L ENNEN (PRESIDENT/CEO)
(419) 636-1131
Entity
Organization
Contact information
Practice address
433 W HIGH ST, BRYAN, OH 43506-1690
(419) 636-1131
(419) 636-3100
Mailing address
433 W HIGH ST, BRYAN, OH 43506-1690
(419) 636-1131
(419) 636-3100
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
I.0500068
OH
Other
Enumeration date
10/18/2013
Last updated
10/18/2013
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