Organization
JEFFERSON BEHAVIORAL HEALTH SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY J SHEPOSH LPC (CHIEF EXECUTIVE OFFICER)
(740) 264-7751
Entity
Organization
Contact information
Practice address
1 ROSS PARK BLVD, SUITE 201, STEUBENVILLE, OH 43952-2681
(740) 264-7751
(740) 264-2422
Mailing address
1 ROSS PARK BLVD, SUITE 201, STEUBENVILLE, OH 43952-2681
(740) 264-7751
(740) 264-2422
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
0191
OH
251S00000X
Community/Behavioral Health Agency
1308
OH
251S00000X
Community/Behavioral Health Agency
Primary
1310
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0200517
—
OH
05
—
24-01
—
OH
05
—
2410733
—
OH
05
—
2488455
—
OH
01
—
7063
MACSIS LEGACY PROVIDER ID
OH
Enumeration date
03/24/2007
Last updated
01/27/2016
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