Midwest Counseling Center Oh, Lcc
Clinic/Center, Adult Mental Health in Fairfield, OH. Organization (NPI-2).
NPI number1669281168
StatusActive
Last updated in NPPESDec 31, 2024
Details
- NPI
- 1669281168
- Entity type
- Organization (NPI-2)
- Legal business name
- Midwest Counseling Center Oh, Lcc
- Organization subpart
- No
- Enumeration date
- Dec 31, 2024
- Certification date
- Dec 31, 2024
- Last updated
- Dec 31, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | Yes |
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | – | – |
Practice location
5200 Camelot DrFairfield, OH 45014-4009
Phone 781-558-8696
Mailing address
15813 72nd Ave Fl 2Fresh Meadows, NY 11365-4100
Phone 781-558-8696
Authorized official
Christopher Foster
Ceo
7815588696
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