| Survivor Advocacy Outreach Progra, | |
|
145 Columbus Rd Ste 201 Athens OH 45701-1357 | |
| (740) 591-4266 | |
| Not Available |
| Full Name | Survivor Advocacy Outreach Progra, |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 145 Columbus Rd Ste 201, Athens, Ohio |
| Authorized Official Name and Position | Madison Nmi Trace (COO) |
| Authorized Official Contact | 7402741727 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Survivor Advocacy Outreach Progra, 145 Columbus Rd Ste 201 Athens OH 45701-1357 Ph: (740) 591-4266 | Survivor Advocacy Outreach Progra, 145 Columbus Rd Ste 201 Athens OH 45701-1357 Ph: (740) 591-4266 |
| NPI Number | 1235918145 |
|---|---|
| Provider Enumeration Date | 09/28/2023 |
| Last Update Date | 09/28/2023 |
| Certification Date | 09/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235918145 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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