Organization Name: | PIKE COUNTY RECOVERY COUNCIL |
NPI Number: | 1275589178 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | THOMAS L. JOHNSON (EXECUTIVE DIRECTOR) |
Mailing Address: | 111 N High St Waverly |
State: | OH US |
Postal Code: | 456901343 |
Phone Number: | 7409477581 |
Fax Number: | 7409475774 |
NPI Enumeration Date: | 05/25/2006 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | 527733 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |