| Southeast, Inc | |
|
68353 Bannock Rd Saint Clairsville OH 43950-9736 | |
| (740) 695-9344 | |
| Not Available |
| Full Name | Southeast, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 68353 Bannock Rd, Saint Clairsville, Ohio |
| Authorized Official Name and Position | Karen Barger-mercer (CLINICAL SITE DIRECTOR) |
| Authorized Official Contact | 7406959344 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeast, Inc 68353 Bannock Rd Saint Clairsville OH 43950-9736 Ph: () - | Southeast, Inc 68353 Bannock Rd Saint Clairsville OH 43950-9736 Ph: (740) 695-9344 |
| NPI Number | 1275959934 |
|---|---|
| Provider Enumeration Date | 03/05/2014 |
| Last Update Date | 02/26/2020 |
| Certification Date | 02/26/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275959934 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | S. 1303581 (Ohio) | Primary |
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