MEDICARE: COMMUNITY BEHAVIORAL HEALTH INC.

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
1	101YA0400X	Addiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number	:	1619681699
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMUNITY BEHAVIORAL HEALTH INC.

Provider Business Mailing Address
First Line	:	230 LUDLOW ST
Second Line	:
City	:	HAMILTON
State	:	OH
Zip	:	45011-2903
Country	:	US
Telephone Number	:	513-785-4785
Fax Number	:

Provider Business Practice Location Address
First Line	:	1501 ALEXANDRIA PIKE STE 104
Second Line	:
City	:	FORT THOMAS
State	:	KY
Zip	:	41075-2561
Country	:	US
Telephone Number	:	513-785-4785
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	BRIAN KRAUSE
Credential	:
Telephone Number	:	513-785-4054

Provider Enumeration Date	:	01/13/2023
Last Update Date	:	01/13/2023

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