Organization
OCEAN BEHAVIORAL HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON C OCEAN LCSW (CEO)
(919) 924-7584
Entity
Organization
Contact information
Practice address
310 E BROADWAY STE 102, LOUISVILLE, KY 40202-1745
(919) 332-8969
Mailing address
310 E BROADWAY STE 102, LOUISVILLE, KY 40202-1745
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
01/03/2020
Last updated
11/30/2020
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