| Ben-el Child And Family Center | |
|
1150 Scioto St. Suite 200 Urbana OH 43078 | |
| (937) 652-4555 | |
| (937) 652-4945 |
| Full Name | Ben-el Child And Family Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1150 Scioto St., Urbana, Ohio |
| Authorized Official Name and Position | Than Johnson (CEO) |
| Authorized Official Contact | 9376531320 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ben-el Child And Family Center Po Box 755 Urbana OH 43078 Ph: (937) 652-4555 | Ben-el Child And Family Center 1150 Scioto St. Suite 200 Urbana OH 43078 Ph: (937) 652-4555 |
| NPI Number | 1487633194 |
|---|---|
| Provider Enumeration Date | 01/11/2006 |
| Last Update Date | 12/26/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487633194 | NPI | - | NPPES |
| 10065 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0074 (Ohio) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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