| Il-cao Family Guidance Center | |
|
1518 S 3rd St Ironton OH 45638-2140 | |
| (740) 532-7855 | |
| (740) 532-0557 |
| Full Name | Il-cao Family Guidance Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1518 S 3rd St, Ironton, Ohio |
| Authorized Official Name and Position | Kathie Lynn Watson-gray (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7405327855 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Il-cao Family Guidance Center 1518 S 3rd St Ironton OH 45638-2140 Ph: (740) 532-7855 | Il-cao Family Guidance Center 1518 S 3rd St Ironton OH 45638-2140 Ph: (740) 532-7855 |
| NPI Number | 1588824064 |
|---|---|
| Provider Enumeration Date | 06/10/2008 |
| Last Update Date | 06/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588824064 | NPI | - | NPPES |
| 1770549834 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 35 074290 (Ohio) | Primary |
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