Organization Name: | ST. CLAIR HEALTH ASSOCIATES, LLC |
NPI Number: | 1194826123 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TRACY A PRITCHARD (CO-MANAGING PARTNER) |
Mailing Address: | 168 E Main St Saint Clairsville |
State: | OH US |
Postal Code: | 439501534 |
Phone Number: | 7406954805 |
Fax Number: | 7406950487 |
NPI Enumeration Date: | 09/25/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | E1156 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |