| Mbhc Inc | |
|
27475 Holiday Ln Ste 2 Perrysburg OH 43551-3350 | |
| (419) 872-0619 | |
| (419) 872-2466 |
| Full Name | Mbhc Inc |
|---|---|
| Speciality | Counselor |
| Location | 27475 Holiday Ln Ste 2, Perrysburg, Ohio |
| Authorized Official Name and Position | Charles S Burke (PRESIDENT) |
| Authorized Official Contact | 4198720619 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mbhc Inc 27475 Holiday Ln Ste 2 Perrysburg OH 43551-3350 Ph: (419) 872-0619 | Mbhc Inc 27475 Holiday Ln Ste 2 Perrysburg OH 43551-3350 Ph: (419) 872-0619 |
| NPI Number | 1457548224 |
|---|---|
| Provider Enumeration Date | 09/26/2007 |
| Last Update Date | 09/26/2007 |
| Medicare PECOS PAC ID | 0345408191 |
|---|---|
| Medicare Enrollment ID | O20120224000119 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457548224 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 35057923 (Ohio) | Primary |
| Provider Name | Charles S Burke |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164408175 PECOS PAC ID: 6608034459 Enrollment ID: I20120224000150 |
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