Five County Alcohol/Drup Program In in Alvordton - Mental Health (including Community Mental Health Center)

Five County Alcohol/Drup Program In - NPI 1093772386

Five County Alcohol/Drup Program In is a Mental Health (including Community Mental Health Center) in Alvordton, Ohio. Five County Alcohol/Drup Program In practices all healthcare services and medical treatments related to Mental Health (including Community Mental Health Center). The NPI Number for Five County Alcohol/Drup Program In is 1093772386. The last update date is 2020-08-22.

Five County Alcohol/Drup Program In's current location address is 109 W Main St, Alvordton, Ohio. You can contact this provider via phone number 4199242029 and fax number 4199242061. The mailing address for Five County Alcohol/Drup Program In is 109 W Main St, Alvordton, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Organization Five County Alcohol/Drup Program In
Address 109 W Main St, Alvordton, Ohio
Phone Number 4199242029
Fax Number 4199242061
Sole Proprietor --
Credentials --

Authorized Official

Title or Position EXECUTIVE
Authorized Official Name Bond Kenneth
Credentials LICDC
Telephone Number 4197829920

NPI Number Detail

NPI Number 1093772386
Provider Enumeration Date 2006-04-28
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 109 W Main St
City Alvordton
State Ohio (OH)
Post Code 435019763
Phone Number 4199242029
Fax Number 4199242061

Provider's Primary Taxonomy Detail

Speciality Mental Health (including Community Mental Health Center)
Taxonomy 261Qm0801X
Licence No 559
Definition:
Assesses and treats psychiatric issues, mental illnesses, and substance abuse disorders through counseling, therapy, and medication management.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
10998 OH MACSIS UPI

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FAQs about Five County Alcohol/Drup Program In

What is the unique 10-digit identifier code issued to Five County Alcohol/Drup Program In by the Centers for Medicare & Medicaid Services?

The Five County Alcohol/Drup Program In has been assigned the NPI (National Provider Identifier) 1093772386 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Five County Alcohol/Drup Program In is located?

The Five County Alcohol/Drup Program In is situated at the following address: 109 W Main St, Alvordton, OH, 435019763.

What is Five County Alcohol/Drup Program In's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Five County Alcohol/Drup Program In is Mental Health (including Community Mental Health Center), and the taxonomy classification code that categorizes this area of expertise is 261Qm0801X.

On what date did the Five County Alcohol/Drup Program In receive its 1093772386 assignment from the Centers for Medicare & Medicaid Services?

The Five County Alcohol/Drup Program In was assigned its 1093772386 by the Centers for Medicare & Medicaid Services on 2006-04-28.

As of what date was the information pertaining to Five County Alcohol/Drup Program In, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Five County Alcohol/Drup Program In, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.

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