Whalio Doctors

NPI 1164782017

Nova Behavioral Health, INC.

Organisation Substance Abuse Rehabilitation Facility Dayton, OH

Practice location

Address
732 Beckman St, Dayton, OH 45410-2165
Phone
(937) 253-1680
Fax
(937) 253-8990

Authorised official

Name
John W Goris
Title
Ceo
Phone
(937) 253-1680

Registered specialties (2)

Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 324500000X Licence 1407 (OH)
Mental Illness Community Based Residential Treatment Facility
Residential Treatment Facilities Taxonomy 320800000X Licence 10-2063 (OH)

Registry record

NPI
1164782017
Entity type
Organization
NPI issued
25 May 2012
Record last updated
25 May 2012

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.