institution
South Community Inc
Mental Health Clinic/Center (Including Community Mental Health Center) in Moraine, Ohio
NPI 1639128176

South Community Inc is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Moraine, OH and is specialized in Mental Health (Including Community Mental Health Center). South Community Inc practices in Moraine, OH. The NPI Number for South Community Inc is 1639128176 and holds a License No. 0101 (Ohio).

The current practice location address for South Community Inc is 3095 Kettering Blvd, Moraine, OH and can be reached out via phone at 937-293-8300 and via fax at 937-534-1353.

Location: 3095 Kettering Blvd, Moraine, OH, 45439
institution
Provider Profile Details
NPI Number
1639128176
Provider Name
South Community Inc
Credential
Provider Entity Type
Organization
Address
3095 Kettering Blvd, Moraine, OH, 45439
Phone Number
937-293-8300
Fax Number
937-534-1353
Provider Enumeration Date
05/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0320870 05 OH
MC34-1000 05 OH
institution
Provider Business Practice Location Address Details
Address
3095 Kettering Blvd
City
State
Zip
45439
Phone Number
937-293-8300
Fax Number
937-534-1353
person
Provider Business Mailing Address Details
Address
3095 Kettering Blvd
City
State
Zip
45439
Phone Number
937-293-8300
Fax Number
937-534-1353
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
0101 (Ohio)
Definition
Definition to come...
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