Organization
FAIRBORN MENTAL HEALTH LLC
Active
Other names
Fairborn Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA RAE DUNN (CEO)
(937) 318-8103
Entity
Organization
Contact information
Practice address
323 N BROAD ST, FAIRBORN, OH 45324-4934
(937) 318-8013
(937) 867-5268
Mailing address
323 N BROAD ST, FAIRBORN, OH 45324-4934
(937) 318-8013
(937) 867-5268
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
—
—
Other
Enumeration date
08/20/2019
Last updated
08/20/2019
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