Mental Health and Additive Services

NPI #1780133504 in Sugar Grove, Ohio

Provider Information

NPI Number
1780133504
Entity Type
Organization
Organization Name
Mental Health and Additive Services
Subpart
Yes (part of a larger organization)
Parent Organization
SOUTHEASTERN CORRECTIONAL
Primary Specialty
Substance Abuse Rehabilitation Facility
Enumeration Date
Sep 22, 2016
Last Updated
Sep 22, 2016

Practice Location

Address
RR 1 BOX 549
State
Ohio
ZIP Code
43155-9627
Phone
(740) 653-4324

Authorized Official

Name
MR. RICHARD G GETTINGS, LPCC-S
Title
CORRECTIIONAL PROGRAM COORNATOR
Phone
(740) 653-4324

Specialties & Taxonomy Codes

Specialty
Substance Abuse Rehabilitation Facility

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