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1780328344
FAIRWAY BEHAVIORAL HEALTH, LLC
WILMINGTON, OH
NPI
1780328344
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Entity Type
Organization
Authorized Contact
POLLY VAUGHAN
CEO
937-838-9550
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2022-04-20
Last Update Date
2022-04-20
Business Address
FAIRWAY BEHAVIORAL HEALTH, LLC
140 FAIRWAY DR
WILMINGTON, OH 45177-8008
Phone number: 937-992-1057
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Mailing Address
FAIRWAY BEHAVIORAL HEALTH, LLC
140 FAIRWAY DR
WILMINGTON, OH 45177-8008
Phone number: 937-992-1057
Copy
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