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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