Organization
SPECTRUM OUTREACH SERVICES, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT VINSON (DIRECTOR OF OPERATIONS)
(740) 532-3767
Entity
Organization
Contact information
Practice address
214 S 4TH ST, IRONTON, OH 45638-1610
(740) 532-3767
(740) 532-3385
Mailing address
214 S 4TH ST, IRONTON, OH 45638-1610
(740) 532-3767
(740) 532-3385
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
12344
OH
1041C0700X
Clinical Social Worker
12344
OH
207Q00000X
Family Medicine Physician
—
—
251B00000X
Case Management Agency
12344
OH
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12344
—
OH
Enumeration date
05/16/2006
Last updated
12/06/2021
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