South Community INC

NPI #1528484664 in Moraine, Ohio

Provider Information

NPI Number
1528484664
Entity Type
Organization
Organization Name
South Community INC
Primary Specialty
Community/Behavioral Health
Enumeration Date
Mar 13, 2014
Last Updated
Mar 13, 2014

Practice Location

Address
3095 KETTERING BLVD
State
Ohio
ZIP Code
45439-1983
Phone
(937) 534-1596

Authorized Official

Name
MS. KENISHA GUICE
Title
THERAPIST
Phone
(937) 534-1596

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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