Provider Demographics
NPI:1326012360
Name:PLACES INCORPORATED
Entity type:Organization
Organization Name:PLACES INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROY
Authorized Official - Middle Name:
Authorized Official - Last Name:CRAIG
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:937-461-4300
Mailing Address - Street 1:11 W MONUMENT AVE
Mailing Address - Street 2:7TH FLOOR
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45402-1274
Mailing Address - Country:US
Mailing Address - Phone:937-461-4300
Mailing Address - Fax:937-461-0443
Practice Address - Street 1:11 W MONUMENT AVE FL 7
Practice Address - Street 2:SUITE 910
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45402-1274
Practice Address - Country:US
Practice Address - Phone:937-461-4300
Practice Address - Fax:937-461-0443
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-15
Last Update Date:2016-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0484261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health