| |
23030 State Route 73 West Portsmouth OH 45663-8861 | |
(740) 858-1063 | |
(740) 858-9140 |
Full Name | |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 23030 State Route 73, West Portsmouth, Ohio |
Authorized Official Name and Position | Keith Eric Pitts (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 7402892371 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
941 Market St Piketon OH 45661-9757 Ph: (740) 289-2371 | 23030 State Route 73 West Portsmouth OH 45663-8861 Ph: (740) 858-1063 |
NPI Number | 1962074278 |
---|---|
Provider Enumeration Date | 07/15/2021 |
Last Update Date | 10/14/2021 |
Certification Date | 10/14/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962074278 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Monarch Health And Recovery Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 22664 State Route 73, West Portsmouth, OH 45663 Phone: 740-858-6656 | |