Organization
SHAWNEE MENTAL HEALTH CENTER INC
Active
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
1225 GALLIA ST RM 121, PORTSMOUTH, OH 45662-4216
(740) 354-8608
(740) 353-6206
Mailing address
PO BOX 1507, PORTSMOUTH, OH 45662-1507
(740) 354-7702
(740) 353-6206
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
03/30/2020
Last updated
03/30/2020
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