Provider Demographics
NPI:1689675324
Name:NORCEN BEHAVIORAL HEALTH SYSTEMS
Entity Type:Organization
Organization Name:NORCEN BEHAVIORAL HEALTH SYSTEMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF BUSINESS OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:T
Authorized Official - Last Name:BALLARD
Authorized Official - Suffix:
Authorized Official - Credentials:MSB
Authorized Official - Phone:513-761-6222
Mailing Address - Street 1:7162 READING ROAD
Mailing Address - Street 2:STE 500
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45237-3899
Mailing Address - Country:US
Mailing Address - Phone:513-761-6222
Mailing Address - Fax:513-679-4590
Practice Address - Street 1:7162 READING ROAD
Practice Address - Street 2:STE 500
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45237-3899
Practice Address - Country:US
Practice Address - Phone:513-761-6222
Practice Address - Fax:513-679-4590
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0282261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHMC21-04OtherOH DEPT OF MENTAL HEALTH
OHMC21-04OtherOH DEPT OF MENTAL HEALTH