Impact Prevention | |
22 Private Drive 2824 Apt B South Point OH 45680-7109 | |
(740) 646-1922 | |
Not Available |
Full Name | Impact Prevention |
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Speciality | Community/behavioral Health |
Location | 22 Private Drive 2824 Apt B, South Point, Ohio |
Authorized Official Name and Position | John K. Goodwin (HUMAN RESOURCES/CO OWNER) |
Authorized Official Contact | 7406461922 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Impact Prevention Po Box 809 South Point OH 45680-0809 Ph: (740) 646-1922 | Impact Prevention 22 Private Drive 2824 Apt B South Point OH 45680-7109 Ph: (740) 646-1922 |
NPI Number | 1043663925 |
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Provider Enumeration Date | 07/15/2016 |
Last Update Date | 07/15/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043663925 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (Ohio) | Primary |
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