My Sister's Place | |
142 E State St Athens OH 45701-1746 | |
(740) 593-7125 | |
(740) 594-7122 |
Full Name | My Sister's Place |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 142 E State St, Athens, Ohio |
Authorized Official Name and Position | Kelly Cooke (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 7405937125 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
My Sister's Place Po Box 1158 Athens OH 45701-1158 Ph: (740) 593-7125 | My Sister's Place 142 E State St Athens OH 45701-1746 Ph: (740) 593-7125 |
NPI Number | 1154357721 |
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Provider Enumeration Date | 06/24/2006 |
Last Update Date | 12/21/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154357721 | NPI | - | NPPES |
10167 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 0003 (Ohio) | Primary |
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