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Organization

SOUTHEAST, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KAREN BARGER-MERCER (CLINICAL SITE DIRECTOR)
(740) 695-9344
Entity
Organization

Contact information

Practice address
68353 BANNOCK RD, SAINT CLAIRSVILLE, OH 43950-9736
(740) 695-9344
Mailing address
68353 BANNOCK RD, SAINT CLAIRSVILLE, OH 43950-9736

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
S. 1303581
OH

Other

Enumeration date
03/05/2014
Last updated
02/26/2020
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