Organization
THOMPKINS TREATMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARI ROBERTS (SITE SUPERVISOR/THERAPIST)
(740) 732-7036
Entity
Organization
Contact information
Practice address
18003 WOODSFIELD RD # 2, CALDWELL, OH 43724-9709
(740) 732-7036
(740) 732-7037
Mailing address
211 WATSON AVE, BYESVILLE, OH 43723-1210
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
101YM0800X
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
I7404S
SOCIAL WORK LICENSE
OH
Enumeration date
07/07/2016
Last updated
07/07/2016
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