Communikare Behavior Health Services Llc | |
1320 Woodman Dr Dayton OH 45432-3497 | |
(937) 223-1781 | |
(937) 424-0279 |
Full Name | Communikare Behavior Health Services Llc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 1320 Woodman Dr, Dayton, Ohio |
Authorized Official Name and Position | Jeffrey Frank Kolaczkowski (OWNER) |
Authorized Official Contact | 9372231781 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Communikare Behavior Health Services Llc 1320 Woodman Dr Dayton OH 45432-3497 Ph: (937) 223-1781 | Communikare Behavior Health Services Llc 1320 Woodman Dr Dayton OH 45432-3497 Ph: (937) 223-1781 |
NPI Number | 1003463456 |
---|---|
Provider Enumeration Date | 08/21/2019 |
Last Update Date | 03/11/2020 |
Certification Date | 03/11/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003463456 | NPI | - | NPPES |
0337777 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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