NPI 1003211061
South Community
Practice location
- Address
- 2745 S Smithville Rd, Kettering, OH 45420-2668
- Phone
- (937) 258-4246
- Mailing address
- 8130 Towson Blvd, Miamisburg, OH 45342-6120
Authorised official
- Name
- Melissa Buck
- Title
- Yph Program Manager
- Phone
- (937) 258-4246
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1003211061
- Entity type
- Organization
- NPI issued
- 1 Nov 2014
- Record last updated
- 1 Nov 2014
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.