Organization
CHILLICOTHE ACUTE CARE CLINIC, INC.
Active
Other names
Anchor Addiction and Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE A GALLOWAY (PRESIDENT)
(985) 726-9605
Entity
Organization
Contact information
Practice address
3 MEDICAL DR, CHILLICOTHE, OH 45601-8603
(740) 779-6614
(740) 779-6617
Mailing address
PO BOX 160, SLIDELL, LA 70459-0160
(198) 572-6960
(985) 726-9633
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
01-7606
OH
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0271632
—
OH
Enumeration date
11/02/2010
Last updated
05/17/2021
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