Organization Name: | PICKAWAY AREA RECOVERY SERVICES |
NPI Number: | 1063462109 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CECILIA I FERGUSON (FINANCIAL OFFICER) |
Mailing Address: | 319 Logan St Circleville |
State: | OH US |
Postal Code: | 431132213 |
Phone Number: | 7404771745 |
Fax Number: | 7404772779 |
NPI Enumeration Date: | 05/11/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |