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Third Street Community Clinic, Inc
Adolescent and Children Mental Health Clinic/Center in Marion, Ohio
NPI 1194592154

Third Street Community Clinic, Inc is an Adolescent and Children Mental Health Clinic/Center based in Ontario, OH and is specialized in Adolescent and Children Mental Health. Third Street Community Clinic, Inc practices in Marion, OH. The NPI Number for Third Street Community Clinic, Inc is 1194592154 and holds a License No. (Ohio).

The current practice location address for Third Street Community Clinic, Inc is 320 Executive Dr, Marion, OH and can be reached out via phone at 740-383-1351.

Location: 320 Executive Dr, Marion, OH, 44906-2719
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1194592154
Provider Name
Third Street Community Clinic, Inc
Credential
Provider Entity Type
Organization
Address
320 Executive Dr, Marion, OH, 44906-2719
Phone Number
740-383-1351
Fax Number
Provider Enumeration Date
12/08/2023
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
320 Executive Dr
City
Marion
State
Ohio
Zip
43302-6310
Phone Number
740-383-1351
Fax Number
person
Provider Business Mailing Address Details
Address
320 Executive Dr
City
Marion
State
Ohio
Zip
43302-6310
Phone Number
740-383-1351
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
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 5
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
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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