Healthcare Provider Details

I. General information

NPI: 1053377184
Provider Name (Legal Business Name): BUTLER BEHAVIORAL HEALTH SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2006
Last Update Date: 07/01/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1490 UNIVERSITY BLVD
HAMILTON OH
45011-3315
US

IV. Provider business mailing address

1490 UNIVERSITY BLVD.
HAMILTON OH
45011-3305
US

V. Phone/Fax

Practice location:
  • Phone: 513-881-7189
  • Fax: 513-881-7188
Mailing address:
  • Phone: 513-881-7189
  • Fax: 513-881-7188

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. MICHELLE RASP
Title or Position: EXECUTIVE ASSISTANT
Credential:
Phone: 513-881-7189