Organization
WOMANLINE OF DAYTON, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN THOMAS O'BRYAN (PRESIDENT/EXECUTIVE DIRECTOR)
(937) 223-3446
Entity
Organization
Contact information
Practice address
301 E 6TH ST, DAYTON, OH 45402-2838
(937) 223-3446
(937) 223-2384
Mailing address
301 E 6TH ST, DAYTON, OH 45402-2838
(937) 223-3446
(937) 223-2384
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
636
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
433427
MANAGED HEALTH NETWORK, INC.
OH
01
—
MC34-3300
ALCOHOL DRUG ADDICTION MENTAL HEALTH SERVICES BOARD OF MONTGOMERY COUNTY
OK
Enumeration date
01/15/2009
Last updated
01/15/2009
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