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Fairborn Mental Health Llc
Addiction Medicine (Psychiatry & Neurology) Physician in Fairborn, Ohio
NPI 1972150423

Fairborn Mental Health Llc is an Addiction Medicine (Psychiatry & Neurology) Physician based in Fairborn, OH and is specialized in Addiction Medicine. Fairborn Mental Health Llc practices in Fairborn, OH. The NPI Number for Fairborn Mental Health Llc is 1972150423 and holds a License No. (Ohio).

The current practice location address for Fairborn Mental Health Llc is 323 N Broad St, Fairborn, OH and can be reached out via phone at 937-318-8013 and via fax at 937-867-5268.

Location: 323 N Broad St, Fairborn, OH, 45324-4934
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972150423
Provider Name
Fairborn Mental Health Llc
Credential
Provider Entity Type
Organization
Address
323 N Broad St, Fairborn, OH, 45324-4934
Phone Number
937-318-8013
Fax Number
937-867-5268
Provider Enumeration Date
08/20/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
323 N Broad St
City
Fairborn
State
Ohio
Zip
45324-4934
Phone Number
937-318-8013
Fax Number
937-867-5268
person
Provider Business Mailing Address Details
Address
323 N Broad St
City
Fairborn
State
Ohio
Zip
45324-4934
Phone Number
937-318-8013
Fax Number
937-867-5268
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Addiction Medicine
Taxonomy
207QA0401X
License No.
()
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Addiction Medicine
Taxonomy
2084A0401X
License No.
()
Definition
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
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