Organization
WARREN OUTPATIENT SERVICES
Active
Parent organization
TALBERT HOUSE
Organization subpart
Yes
Provider details
NPI number
Legal business name
TALBERT HOUSE
Authorized official
MS. ANNETTA J DAVIS LSW (CLINICAL SERVICE PROVIDER)
(513) 932-4337
Entity
Organization
Contact information
Practice address
759 COLUMBUS AVE, LEBANON, OH 45036-1754
(513) 932-4337
(513) 932-6750
Mailing address
759 COLUMBUS AVE, LEBANON, OH 45036-1754
(513) 932-4337
(513) 932-6750
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
S0800680
OH
Other
Enumeration date
07/28/2009
Last updated
07/28/2009
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