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NPI Code Detail

MEDICARE: GEM CITY BEHAVIORAL SOLUTIONS, LLC

MEDICARE: GEM CITY BEHAVIORAL SOLUTIONS, LLC
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
1104100000XSocial Worker
2251B00000XCase Management Agency
3251C00000XDevelopmentally Disabled Services Day Training Agency
4251S00000XCommunity/Behavioral Health Agency
5261QC1500XCommunity Health Clinic/Center
6261QD1600XDevelopmental Disabilities Clinic/Center
7261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
8261QM0850XAdult Mental Health Clinic/Center
9103K00000XBehavior Analyst

General Provider Information

NPI Number : 1659905826
Entity Type Code : Organization
Provider Name (Legal Business Name) : GEM CITY BEHAVIORAL SOLUTIONS, LLC
Provider Business Mailing Address
First Line : 1628 E DOROTHY LN
Second Line :
City : KETTERING
State : OH
Zip : 45429-3810
Country : US
Telephone Number : 937-365-7455
Fax Number : 937-600-6071
Provider Business Practice Location Address
First Line : 4134 LINDEN AVE
Second Line :
City : DAYTON
State : OH
Zip : 45432-3043
Country : US
Telephone Number : 937-750-8236
Fax Number : 937-600-6071
Authorized Official
Title or Position : OWNER
Name : MR. WILLIAM M SLUSSER III
Credential : BCBA
Telephone Number : 937-365-7455
Provider Enumeration Date : 02/26/2020
Last Update Date : 01/27/2025

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Directions to “GEM CITY BEHAVIORAL SOLUTIONS, LLC ” Practice Location

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