Healthcare Provider Details

I. General information

NPI: 1457289118
Provider Name (Legal Business Name): GEM CITY HEALTH NETWORK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1628 E DOROTHY LN
KETTERING OH
45429-3810
US

IV. Provider business mailing address

1628 E DOROTHY LN
KETTERING OH
45429-3810
US

V. Phone/Fax

Practice location:
  • Phone: 937-750-8236
  • Fax: 937-826-0199
Mailing address:
  • Phone: 937-750-8236
  • Fax: 937-826-0199

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM SLUSSER III
Title or Position: OWNER
Credential: BCBA
Phone: 937-750-8236