Organization
CRN HEALTHCARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH ANTHONY VUKASINOVICH (BUSINESS MANAGER/CLINICAL MANAGER)
(937) 672-1424
Entity
Organization
Contact information
Practice address
201 W. FRANKLIN STREET, SUITE B, CENTERVILLE, OH 45459
(937) 672-1424
(234) 806-4504
Mailing address
201 W. FRANKLIN STREET, SUITE B, CENTERVILLE, OH 45459
(937) 672-1424
(234) 806-4504
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
14345
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0290561
—
OH
Enumeration date
05/31/2018
Last updated
12/20/2023
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