| Scioto Family And Behavioral Medicine | |
|
4502 Gallia St Portsmouth OH 45662-5541 | |
| (740) 529-7020 | |
| (740) 529-7085 |
| Full Name | Scioto Family And Behavioral Medicine |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 4502 Gallia St, Portsmouth, Ohio |
| Authorized Official Name and Position | John Haastrup (OWNER) |
| Authorized Official Contact | 2708717379 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Scioto Family And Behavioral Medicine 5611 Gallia St Portsmouth OH 45662-5520 Ph: (740) 529-0083 | Scioto Family And Behavioral Medicine 4502 Gallia St Portsmouth OH 45662-5541 Ph: (740) 529-7020 |
| NPI Number | 1063074771 |
|---|---|
| Provider Enumeration Date | 07/02/2019 |
| Last Update Date | 09/20/2021 |
| Certification Date | 09/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063074771 | NPI | - | NPPES |
| 0332290 | Medicaid | OH | |
| 0190824 | Medicaid | OH | |
| 0359670 | Medicaid | OH |
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