South Community Inc in Moraine - Mental Health (including Community Mental Health Center)
South Community Inc - NPI 1639128176
South Community Inc is a Mental Health (including Community Mental Health Center) in Moraine, Ohio. South Community Inc practices all healthcare services and medical treatments related to Mental Health (including Community Mental Health Center). The NPI Number for South Community Inc is 1639128176. The last update date is 2023-05-31.
South Community Inc's current location address is 3095 Kettering Blvd, Moraine, Ohio. You can contact this provider via phone number 9372938300 and fax number 9375341353. The mailing address for South Community Inc is 3095 Kettering Blvd, Moraine, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South Community Inc |
|---|---|
| Address | 3095 Kettering Blvd, Moraine, Ohio |
| Phone Number | 9372938300 |
| Fax Number | 9375341353 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Carter Lisa |
| Telephone Number | 9372938300 |
NPI Number Detail
| NPI Number | 1639128176 |
|---|---|
| Provider Enumeration Date | 2006-05-10 |
| Last Updated Date | 2023-05-31 |
Provider Mailing Address Detail
| Address | 3095 Kettering Blvd |
|---|---|
| City | Moraine |
| State | Ohio (OH) |
| Post Code | 45439 |
| Phone Number | 9372938300 |
| Fax Number | 9375341353 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health (including Community Mental Health Center) |
|---|---|
| Taxonomy | 261Qm0801X |
| Licence No | 101 |
|
Definition: Assesses and treats psychiatric issues, mental illnesses, and substance abuse disorders through counseling, therapy, and medication management. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 320870 | OH | -- | |
| MC34-1000 | OH | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to South Community Inc?
The South Community Inc has been issued the NPI (National Provider Identifier) 1639128176 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where South Community Inc is physically located?
The South Community Inc is situated at the following address: 3095 Kettering Blvd, Moraine, OH 45439.
What is the South Community Inc's specialty and taxonomy code?
The South Community Inc's specialty is Mental Health (including Community Mental Health Center), and the corresponding taxonomy code is 261Qm0801X.
On what date did the South Community Inc receive the assignment of its 1639128176 from the Centers for Medicare & Medicaid Services?
The South Community Inc was issued its 1639128176 by the Centers for Medicare & Medicaid Services on 2006-05-10.
When was the information pertaining to South Community Inc most recently updated or revised?
The details related to South Community Inc, including its address, specialty, and other relevant information, were last updated or revised on 2023-05-31.
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