| Central Ohio Mental Health Ctr | |
| 
					250 S Henry St Delaware OH 43015-2978  | |
| (740) 369-4482 | |
| (740) 368-7835 | 
| Full Name | Central Ohio Mental Health Ctr | 
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) | 
| Location | 250 S Henry St, Delaware, Ohio | 
| Authorized Official Name and Position | Debra M Dornon (CREDENTIALING SPECIALIST) | 
| Authorized Official Contact | 7403687834 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Central Ohio Mental Health Ctr 824 Bowtown Rd Delaware OH 43015 Ph: (740) 369-7688  | Central Ohio Mental Health Ctr 250 S Henry St Delaware OH 43015-2978 Ph: (740) 369-4482  | 
| NPI Number | 1518925676 | 
|---|---|
| Provider Enumeration Date | 05/01/2006 | 
| Last Update Date | 08/15/2012 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1518925676 | NPI | - | NPPES | 
| 293114 | Medicaid | OH | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary | 
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