Fairborn Mental Health LLC

NPI #1972150423 in Fairborn, Ohio

Provider Information

NPI Number: 1972150423
Entity Type: Organization
Organization Name: Fairborn Mental Health LLC
Primary Specialty: Psychiatry & Neurology - Addiction Medicine
Enumeration Date: Aug 20, 2019
Last Updated: Aug 20, 2019

Practice Location

Address: 323 N BROAD ST
City: Fairborn
State: Ohio
ZIP Code: 45324-4934
Phone: (937) 318-8013

Authorized Official

Name: SHEILA RAE DUNN
Title: CEO
Phone: (937) 318-8103

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine - Addiction Medicine — Addiction Medicine	207QA0401X
Psychiatry & Neurology - Addiction Medicine — Addiction Medicine	2084A0401X	Primary

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