Healthcare Provider Details

I. General information

NPI: 1487334132
Provider Name (Legal Business Name): CATHOLICS BEHAVIORAL HEALTH TREATMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2023
Last Update Date: 01/31/2024
Certification Date: 01/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

306 BELLEAIRE AVE APT 3
SPRINGFIELD OH
45503-4831
US

IV. Provider business mailing address

306 BELLEAIRE AVE APT 3
SPRINGFIELD OH
45503-4831
US

V. Phone/Fax

Practice location:
  • Phone: 937-284-1245
  • Fax:
Mailing address:
  • Phone: 937-284-1245
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084B0040X
TaxonomyBehavioral Neurology & Neuropsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MR. CHRISTOPHER R TOROWSKI
Title or Position: CEO
Credential: NP
Phone: 937-284-1245