Organization · NPI-2
88th Medgrp-Wright-Patterson
Psychiatric Unit · Wpafb, OH
NPI number1124206594
StatusActive
Last updated in NPPESMar 12, 2025
Details
- NPI
- 1124206594
- Entity type
- Organization (NPI-2)
- Legal business name
- 88th Medgrp-Wright-Patterson
- Organization subpart
- Yes
- Enumeration date
- Feb 7, 2008
- Certification date
- Mar 12, 2025
- Last updated
- Mar 12, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 273R00000X | Psychiatric Unit | – | – | Yes |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | |
| 282N00000X | General Acute Care Hospital | – | – | |
| 283Q00000X | Psychiatric Hospital | – | – | |
| 286500000X | Military Hospital | – | – |
Practice location
88 Sugar Maple Dr.Wpafb, OH 45433
Phone 937-257-1363
Mailing address
7012 Winter Hill CtDayton, OH 45459
Phone 954-647-7442
Authorized official
Randon Welton
Program Director
9372571363
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