Organization
ALLIANCE INTEGRATED CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FABIAN GLEN ROSEL APRN.CNP (CLINICAL DIRECTOR)
(740) 314-0010
Entity
Organization
Contact information
Practice address
517 N 4TH ST, STEUBENVILLE, OH 43952-1933
(740) 340-7595
Mailing address
517 N 4TH ST, STEUBENVILLE, OH 43952-1933
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
01/21/2022
Last updated
09/25/2023
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