NPI | 1003463456 |
---|---|
Former Legal Business Name | COMMUNIKARE BEHAVIORAL HEALTH SERVICES LLC |
Entity Type | Organization |
Authorized Contact | JEFFREY FRANK KOLACZKOWSKI Owner 937-223-1781 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2019-08-21 |
Last Update Date | 2020-03-11 |