Organization
PIKE COUNTY RECOVERY COUNCIL INC
Active
Organization
PIKE COUNTY RECOVERY COUNCIL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERONICA MICHELLE BLACK CDCA (DEPUTY DIRECTOR)
(740) 947-6727
Entity
Organization
Contact information
Practice address
14572 US HIGHWAY 23, WAVERLY, OH 45690-9373
(740) 947-6727
(740) 947-6917
Mailing address
P.O. BOX 226, WAVERLY, OH 45690-0226
(740) 947-6727
(740) 947-6917
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
527733
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
527733
STATE LICENSE NUMBER
OH
Enumeration date
05/25/2006
Last updated
07/30/2024
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