Organization
WOODLAND CENTERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID A TENER (EXECUTIVE DIRECTOR)
(740) 446-5500
Entity
Organization
Contact information
Practice address
3086 STATE ROUTE 160, GALLIPOLIS, OH 45631-8409
(740) 446-5500
(740) 441-4402
Mailing address
3086 STATE ROUTE 160, GALLIPOLIS, OH 45631-8409
(740) 446-5500
(740) 441-4402
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0253701
—
OH
Enumeration date
03/03/2008
Last updated
03/10/2008
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