MEDICARE: NORCEN BEHAVIORAL HEALTH SYSTEMS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)	0282	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MC21-04	OTHER	OH	OH DEPT OF MENTAL HEALTH

General Provider Information

NPI Number	:	1689675324
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORCEN BEHAVIORAL HEALTH SYSTEMS

Provider Business Mailing Address
First Line	:	7162 READING ROAD
Second Line	:	STE 500
City	:	CINCINNATI
State	:	OH
Zip	:	45237-3899
Country	:	US
Telephone Number	:	513-761-6222
Fax Number	:	513-679-4590

Provider Business Practice Location Address
First Line	:	7162 READING ROAD
Second Line	:	STE 500
City	:	CINCINNATI
State	:	OH
Zip	:	45237-3899
Country	:	US
Telephone Number	:	513-761-6222
Fax Number	:	513-679-4590

Authorized Official
Title or Position	:	DIRECTOR OF BUSINESS OPERATIONS
Name	:	MR. MICHAEL T BALLARD
Credential	:	MSB
Telephone Number	:	513-761-6222

Provider Enumeration Date	:	08/03/2005
Last Update Date	:	08/22/2020

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