Organization · NPI-2

Advanced Therapeutic Services INC

Clinic/Center, Mental Health (Including Community Mental Health Center) · Dayton, OH

NPI number1598746265
StatusActive
Last updated in NPPESMar 24, 2008

Details

NPI
1598746265
Entity type
Organization (NPI-2)
Legal business name
Advanced Therapeutic Services INC
Organization subpart
No
Enumeration date
Nov 9, 2005
Last updated
Mar 24, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Practice location

1320 Woodman Dr
Ste 200
Dayton, OH 45432

Phone 937-223-1781 · Fax 937-853-0096

Mailing address

1320 Woodman Dr
Ste 200
Dayton, OH 45432

Phone 937-223-1781 · Fax 937-853-0096

Authorized official

Jeffrey Frank Kolaczkowski
Executive Director
9372231781

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