Impact Prevention
NPI #1043663925 in South Point, Ohio
Provider Information
- NPI Number
- 1043663925
- Entity Type
- Organization
- Organization Name
- Impact Prevention
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jul 15, 2016
- Last Updated
- Jul 15, 2016
Practice Location
- Address
- 22 PRIVATE DRIVE 2824 APT B
- City
- South Point
- State
- Ohio
- ZIP Code
- 45680-7109
- Phone
- (740) 646-1922
Authorized Official
- Name
- MR. JOHN K. GOODWIN, OCPS II
- Title
- HUMAN RESOURCES/CO OWNER
- Phone
- (740) 646-1922
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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| Shawn Daniel Stidham |
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