Organization
ALLIANCE PHYSICIANS INC
Active
Parent organization
ALLIANCE PHYSICIANS INC
Other names
Kettering Behavioral Medicine Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALLIANCE PHYSICIANS INC
Authorized official
MR. TIMOTHY Y KO (CFO)
(937) 558-3223
Entity
Organization
Contact information
Practice address
5350 LAMME RD, MORAINE, OH 45439-3215
(937) 534-4632
(937) 534-4609
Mailing address
1 PRESTIGE PLACE, SUITE 550, MIAMISBURG, OH 45342-6115
(937) 762-1300
(937) 522-8493
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2379313
—
OH
Enumeration date
02/19/2008
Last updated
11/16/2015
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