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Organization
LAND OF GOSHEN TREATMENT CENTER, INC
Active
Organization
LAND OF GOSHEN TREATMENT CENTER, INC
Active
Other names
Land of Goshen Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
AMY LYNN SMITH LPCCS (COO)
(740) 442-7758
Entity
Organization
Contact information
Practice address
81 TOWNSHIP ROAD 349, IRONTON, OH 45638-8617
(740) 442-7758
Mailing address
81 TOWNSHIP ROAD 349, IRONTON, OH 45638-8617
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
11/08/2021
Last updated
11/08/2021
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