Organization
WING HAVEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEE BAUMAN MBA (PRESIDENT)
(740) 645-8536
Entity
Organization
Contact information
Practice address
53 MAIN ST, VINTON, OH 45686
(740) 388-8567
(740) 388-8566
Mailing address
PO BOX 171, VINTON, OH 45686-0171
(740) 388-8567
(740) 388-8566
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/13/2012
Last updated
08/13/2012
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