Star Pathways
Clinic/Center, Mental Health (Including Community Mental Health Center) in Beavercreek, OH. Organization (NPI-2).
NPI number1073016440
StatusActive
Last updated in NPPESSep 29, 2022
Details
- NPI
- 1073016440
- Entity type
- Organization (NPI-2)
- Legal business name
- Star Pathways
- Organization subpart
- Yes
- Enumeration date
- Mar 13, 2018
- Certification date
- Sep 29, 2022
- Last updated
- Sep 29, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
70 Birch Aly Ste 240Beavercreek, OH 45440-1477
Phone 866-975-7469
Mailing address
70 Birch Aly Ste 240Beavercreek, OH 45440-1477
Other practice locations
60 Lawrence Ave
Miamisburg, OH 45342
Miamisburg, OH 45342
Phone 513-755-2228
Authorized official
Yvette Dorsey-Benson
Ceo
8669757469
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