Organization
DARKE COUNTY MENTAL HEALTH CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA K. MOORE (PRESIDENT - BOARD OF DIRECTORS)
(937) 548-6842
Entity
Organization
Contact information
Practice address
212 E MAIN ST, GREENVILLE, OH 45331-1913
(937) 548-1635
(937) 548-1500
Mailing address
PO BOX 895, GREENVILLE, OH 45331-1913
(937) 548-1635
(937) 548-1500
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
OH
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0959440
—
OH
Enumeration date
07/08/2006
Last updated
04/25/2013
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