Psychiatric Health 1, Ltd | |
573 Brookover Ave Zanesville OH 43701-2101 | |
(740) 450-7620 | |
(740) 450-7618 |
Full Name | Psychiatric Health 1, Ltd |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 573 Brookover Ave, Zanesville, Ohio |
Authorized Official Name and Position | George T Moses (OWNER PROVIDER) |
Authorized Official Contact | 7404507620 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Psychiatric Health 1, Ltd 573 Brookover Ave Zanesville OH 43701-2101 Ph: (740) 450-7620 | Psychiatric Health 1, Ltd 573 Brookover Ave Zanesville OH 43701-2101 Ph: (740) 450-7620 |
NPI Number | 1912078312 |
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Provider Enumeration Date | 11/10/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912078312 | NPI | - | NPPES |
DA7133 | Other | OH | RR MEDICARE |
000000222217 | Other | OH | ANTHEM GROUP # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 34007515M (Ohio) | Primary |
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