Healthcare Provider Details

I. General information

NPI: 1609758887
Provider Name (Legal Business Name): GEM CITY RECOVERY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2025
Last Update Date: 07/21/2025
Certification Date: 07/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

737 MAPLEHURST AVE
DAYTON OH
45402-5546
US

IV. Provider business mailing address

737 MAPLEHURST AVE
DAYTON OH
45402-5546
US

V. Phone/Fax

Practice location:
  • Phone: 951-543-3830
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: TYLER MEZZANATTO
Title or Position: OWNER
Credential:
Phone: 951-543-3830