Organization
INTERVENTION CENTER OF AMERICA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAMICAH BETTS (INTAKE COORDINATOR)
(937) 204-7506
Entity
Organization
Contact information
Practice address
6929 N MAIN ST, DAYTON, OH 45415-2563
(937) 204-7506
Mailing address
6929 N MAIN ST, DAYTON, OH 45415-2563
(937) 204-7506
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
07/29/2019
Last updated
07/29/2019
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