Organization
CENTRAL OHIO MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA M DORNAN (CREDENTIALING SPECIALIST)
(740) 368-7834
Entity
Organization
Contact information
Practice address
824 BOWTOWN RD, DELAWARE, OH 43015-9661
(740) 369-7688
(740) 363-6415
Mailing address
824 BOWTOWN RD, DELAWARE, OH 43015-9661
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
S120045
OH
Other
Enumeration date
05/31/2012
Last updated
05/31/2012
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