| 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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