Organization
TRI-STATE BEHAVIORAL HEALTH CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KASIRAJA SATHAPPAN M.D. (CHIEF EXECUTIVE OFFICER)
(740) 695-4026
Entity
Organization
Contact information
Practice address
157 E LAWN AVE, SAINT CLAIRSVILLE, OH 43950-9155
(740) 695-4026
(740) 695-4025
Mailing address
157 E LAWN AVE, SAINT CLAIRSVILLE, OH 43950-9155
(740) 695-4026
(740) 695-4025
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
06505RX
OH
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
10008085
OH
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
35066996S
OH
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
35085372
OH
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
E0002789
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0981577
—
OH
05
—
2290962
—
OH
05
—
2592814
—
OH
Enumeration date
05/02/2006
Last updated
08/22/2020
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