Organization
ROCKING HORSE CHILDRENS HEALTH CENTER
Active
Other names
Rocking Horse Center, Rocking Horse Center Mulberry SUD, Rocking Horse Community Health Center, Rocking Horse Community Health Center Mulberry SUD
Organization subpart
No
Provider details
NPI number
Authorized official
SHONDA E WALLACE (CFO)
(937) 324-1111
Entity
Organization
Contact information
Practice address
120 W MULBERRY ST, SPRINGFIELD, OH 45506-1666
(937) 328-7264
(937) 525-4543
Mailing address
651 S LIMESTONE ST, SPRINGFIELD, OH 45505-1965
(937) 324-1111
(937) 525-4541
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0277629
—
OH
Enumeration date
08/10/2016
Last updated
11/20/2024
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