| Spectrum Outreach Services, Ltd | |
|
214 S 4th St Ironton OH 45638-1610 | |
| (740) 532-3767 | |
| (740) 532-3385 |
| Full Name | Spectrum Outreach Services, Ltd |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 214 S 4th St, Ironton, Ohio |
| Authorized Official Name and Position | Charmaine C Holbrook (FINANCE COORDINATOR) |
| Authorized Official Contact | 7405323767 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spectrum Outreach Services, Ltd 214 S 4th St Ironton OH 45638-1610 Ph: (740) 532-3767 | Spectrum Outreach Services, Ltd 214 S 4th St Ironton OH 45638-1610 Ph: (740) 532-3767 |
| NPI Number | 1699254300 |
|---|---|
| Provider Enumeration Date | 08/13/2018 |
| Last Update Date | 08/13/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699254300 | NPI | - | NPPES |
| 2876571 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Ohio) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | 12344 (Ohio) | Primary |
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