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NPI Code Detail

MEDICARE: BEHAVIOR NUTRITIONAL TREATMENT CENTR

MEDICARE: BEHAVIOR NUTRITIONAL TREATMENT CENTR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1326412248
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEHAVIOR NUTRITIONAL TREATMENT CENTR
Provider Business Mailing Address
First Line : 4900 FREDERICK PIKE
Second Line :
City : DAYTON
State : OH
Zip : 45414-3814
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4900 FREDERICK PIKE
Second Line :
City : DAYTON
State : OH
Zip : 45414-3814
Country : US
Telephone Number : 937-222-4110
Fax Number :
Authorized Official
Title or Position : OWNER
Name : CLIFFORD MORROW
Credential :
Telephone Number : 937-520-4407
Provider Enumeration Date : 11/16/2015
Last Update Date : 11/16/2015

Similar Medicare Providers

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Directions to “BEHAVIOR NUTRITIONAL TREATMENT CENTR ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.