| Mhrccc | |
|
953 S South St Wilmington OH 45177-2921 | |
| (937) 383-4441 | |
| (937) 383-2348 |
| Full Name | Mhrccc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 953 S South St, Wilmington, Ohio |
| Authorized Official Name and Position | Brad Mcmonigle (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5132287800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mhrccc 953 S South St Wilmington OH 45177-2921 Ph: (937) 383-4441 | Mhrccc 953 S South St Wilmington OH 45177-2921 Ph: (937) 383-4441 |
| NPI Number | 1780993543 |
|---|---|
| Provider Enumeration Date | 09/28/2010 |
| Last Update Date | 09/28/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780993543 | NPI | - | NPPES |
| 2473998 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (Ohio) | Primary |
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