Organization
S.U.C.C.E.S.SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KELLY M WORKMAN (DIRECTOR OF SERVICES)
(740) 401-0145
Entity
Organization
Contact information
Practice address
1764 STATE ROUTE 339, BELPRE, OH 45714-8035
(740) 401-0145
(740) 401-0145
Mailing address
1764 STATE ROUTE 339, BELPRE, OH 45714-8035
(740) 401-0145
(740) 401-0145
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/08/2013
Last updated
01/08/2013
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