Greene Pak Psychiatric Service INC

NPI #1124187554 in Xenia, Ohio

Provider Information

NPI Number: 1124187554
Entity Type: Organization
Organization Name: Greene Pak Psychiatric Service INC
Primary Specialty: Clinic/Center - Adult Mental Health
Enumeration Date: Dec 8, 2006
Last Updated: Dec 11, 2007

Practice Location

Address: 482 N DETROIT ST
City: Xenia
State: Ohio
ZIP Code: 45385
Phone: (937) 374-6010

Authorized Official

Name: MAHMOOD RAHMAN, MD
Title: OWNER
Phone: (937) 374-6010

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X	Primary

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