Healthcare Provider Details

I. General information

NPI: 1417888942
Provider Name (Legal Business Name): THE CETHER HOUSE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1427 STEINER AVE
DAYTON OH
45417-3813
US

IV. Provider business mailing address

1427 STEINER AVE
DAYTON OH
45417-3813
US

V. Phone/Fax

Practice location:
  • Phone: 937-626-0611
  • Fax:
Mailing address:
  • Phone: 937-626-0611
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name: MRS. TAMIKA BUCKNER
Title or Position: CEO/PRESIDENT
Credential: BSN, RN
Phone: 937-626-0611