Greene Pak Psychiatric Service Inc in Vandalia - Adolescent And Children Mental Health

Greene Pak Psychiatric Service Inc - NPI 1124187554

Greene Pak Psychiatric Service Inc is a Adolescent And Children Mental Health in Vandalia, Ohio. Greene Pak Psychiatric Service Inc practices all healthcare services and medical treatments related to Adolescent And Children Mental Health. The NPI Number for Greene Pak Psychiatric Service Inc is 1124187554. The last update date is 2007-12-11.

Greene Pak Psychiatric Service Inc's current location address is 76 Fordway Dr, Vandalia, Ohio. You can contact this provider via phone number 9378903139 and fax number 9378903111. The mailing address for Greene Pak Psychiatric Service Inc is 76 Fordway Dr, Vandalia, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Organization Greene Pak Psychiatric Service Inc
Address 76 Fordway Dr, Vandalia, Ohio
Phone Number 9378903139
Fax Number 9378903111
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Rahman Mahmood
Credentials MD
Telephone Number 9373746010

NPI Number Detail

NPI Number 1124187554
Provider Enumeration Date 2006-12-08
Last Updated Date 2007-12-11

Provider Mailing Address Detail

Address 76 Fordway Dr
City Vandalia
State Ohio (OH)
Post Code 45377
Phone Number 9378903139
Fax Number 9378903111

Provider's Primary Taxonomy Detail

Speciality Adolescent And Children Mental Health
Taxonomy 261Qm0855X
Definition:
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patie

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
976949 OH --

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FAQs about Greene Pak Psychiatric Service Inc

What is the unique 10-digit identification code assigned to Greene Pak Psychiatric Service Inc by the Centers for Medicare & Medicaid Services?

The Greene Pak Psychiatric Service Inc has been issued the NPI (National Provider Identifier) 1124187554, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Greene Pak Psychiatric Service Inc's physical address?

The Greene Pak Psychiatric Service Inc is physically located at 76 Fordway Dr, in the city of Vandalia, OH, with the postal code 45377.

What is Greene Pak Psychiatric Service Inc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Greene Pak Psychiatric Service Inc is Adolescent And Children Mental Health, and the taxonomy code that classifies this field of practice is 261Qm0855X.

On what date did the Greene Pak Psychiatric Service Inc receive its 1124187554 assignment from the Centers for Medicare & Medicaid Services?

The Greene Pak Psychiatric Service Inc was assigned its 1124187554 by the Centers for Medicare & Medicaid Services on 2006-12-08.

As of what date were the Greene Pak Psychiatric Service Inc's details last updated?

The information pertaining to the Greene Pak Psychiatric Service Inc, including its address, specialty, and other details, was most recently updated on 2007-12-11.

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