Organization
SHAWNEE MENTAL HEALTH CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA HOLSTEIN (CEO)
(740) 355-8686
Entity
Organization
Contact information
Practice address
1611 27TH ST STE 103, PORTSMOUTH, OH 45662-6932
(740) 981-8786
Mailing address
901 WASHINGTON ST, PORTSMOUTH, OH 45662-3944
(740) 354-7702
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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