NPI: 1982695706
Provider Name: MENTAL HEALTH SERVICES FOR CLARK CO INC
Doing Business As: MENTAL HEALTH SERVICES FOR CLARK AND MADISON COUNTIES, INC.
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization
Specialization: Multi-Specialty
CLIA Number: 36D1019043
Address:
474 N YELLOW SPRINGS STREET
SPRINGFIELD, OH
ZIP 45504
Phone: (937) 399-9500
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MENTAL HEALTH SERVICES FOR CLARK CO INC is a multi-specialty clinic center in Springfield, OH. MENTAL HEALTH SERVICES FOR CLARK CO INC NPI is 1982695706. The provider is registered as an organization entity type.
The provider Is Doing Business As Mental Health Services For Clark And Madison Counties, Inc..
The provider's business location address is:
474 N YELLOW SPRINGS STREET
SPRINGFIELD, OH
ZIP 45504-463
Phone: (937) 399-9500
Fax: (937) 342-4242
The provider's authorized official is Kelly L Rigger .
The authorized official title is Ceo and has the following contact phone number (937) 399-9500.
The CLIA number assigned to this NPI record is 36D1019043 - practitioner other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 11/1/2005 and was last updated on 5/11/2021.