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Organization

COMMUNITY ACTION COMMISSION OF FAYETTE COUNTY

Active
Other names
Fayette County Dental Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
LUCINDA JEAN BAUGHN (EXECUTIVE DIRECTOR)
(740) 335-7282
Entity
Organization

Contact information

Practice address
1400 US ROUTE 22 NW, WASHINGTON COURT HOUSE, OH 43160-1402
(740) 335-7282
(740) 335-6802
Mailing address
1400 US ROUTE 22 NW, WASHINGTON COURT HOUSE, OH 43160
(740) 335-7282
(740) 335-6802

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
251S00000X
Community/Behavioral Health Agency
251V00000X
Voluntary or Charitable Agency
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center

Other

Enumeration date
01/02/2007
Last updated
09/02/2025
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