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PERRY BEHAVIORAL HEALTH CHOICES INC NPI 1457330938


NPI Information

NPI: 1457330938
Provider Name: PERRY BEHAVIORAL HEALTH CHOICES INC
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 36D2171750

Address:
203 N MAIN ST
NEW LEXINGTON, OH
ZIP 43764
Phone: (740) 342-1991
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PERRY BEHAVIORAL HEALTH CHOICES INC is a community behavioral health in New Lexington, OH. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. PERRY BEHAVIORAL HEALTH CHOICES INC NPI is 1457330938. The provider is registered as an organization entity type.

The provider's business location address is:

203 N MAIN ST
NEW LEXINGTON, OH
ZIP 43764-264
Phone: (740) 342-1991
Fax: (740) 342-2914

The provider's authorized official is Renea Lynn Dodson .
The authorized official title is Assistant Director and has the following contact phone number (740) 342-1991.

The CLIA number assigned to this NPI record is 36D2171750 - other - behavioral health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/12/2006 and was last updated on 2/28/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
2324500000XSubstance Abuse Rehabilitation FacilityNo
33245S0500XSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, ChildrenNo
4251S00000XCommunity/Behavioral HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12847423MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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