| Organization Name: | COSHOCTON COUNTY DRUG & ALCOHOL COUNCIL, INC |
| NPI Number: | 1114987138 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BETH A CORMACK (EXECUTIVE DIRECTOR) |
| Mailing Address: | 140 1/2 S 6th St Coshocton |
| State: | OH US |
| Postal Code: | 438121624 |
| Phone Number: | 7406220033 |
| Fax Number: | 7406220210 |
| NPI Enumeration Date: | 03/24/2006 |
| 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: | |