| Tcn Behavioral Health Service, Inc | |
|
452 W Market St Xenia OH 45385-2815 | |
| (937) 376-8700 | |
| (937) 376-0113 |
| Full Name | Tcn Behavioral Health Service, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 452 W Market St, Xenia, Ohio |
| Authorized Official Name and Position | Randall Haskins (ASSOCIATE DIRECTOR) |
| Authorized Official Contact | 9373768700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tcn Behavioral Health Service, Inc 452 W Market St Xenia OH 45385-2815 Ph: (937) 376-8700 | Tcn Behavioral Health Service, Inc 452 W Market St Xenia OH 45385-2815 Ph: (937) 376-8700 |
| NPI Number | 1407028954 |
|---|---|
| Provider Enumeration Date | 03/25/2008 |
| Last Update Date | 03/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407028954 | NPI | - | NPPES |
| 2497614 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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