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Greene Pak Psychiatric Service Inc
Adolescent and Children Mental Health Clinic/Center in Xenia, Ohio
NPI 1124187554

Greene Pak Psychiatric Service Inc is an Adolescent and Children Mental Health Clinic/Center based in Vandalia, OH and is specialized in Adolescent and Children Mental Health. Greene Pak Psychiatric Service Inc practices in Xenia, OH. The NPI Number for Greene Pak Psychiatric Service Inc is 1124187554 and holds a License No. (Ohio).

The current practice location address for Greene Pak Psychiatric Service Inc is 482 N Detroit St, Xenia, OH and can be reached out via phone at 937-374-6010 and via fax at 937-374-6014.

Location: 482 N Detroit St, Xenia, OH, 45377
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1124187554
Provider Name
Greene Pak Psychiatric Service Inc
Credential
Provider Entity Type
Organization
Address
482 N Detroit St, Xenia, OH, 45377
Phone Number
937-374-6010
Fax Number
937-374-6014
Provider Enumeration Date
12/08/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0976949 05 OH
institution
Provider Business Practice Location Address Details
Address
482 N Detroit St
City
Xenia
State
Ohio
Zip
45385
Phone Number
937-374-6010
Fax Number
937-374-6014
person
Provider Business Mailing Address Details
Address
482 N Detroit St
City
Xenia
State
Ohio
Zip
45385
Phone Number
937-374-6010
Fax Number
937-374-6014
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
(Ohio)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
(Ohio)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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