Organization
THE VILLAGE NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RANDA MARIE HARRAH LSW (CLINICAL THERAPIST)
(740) 397-0533
Entity
Organization
Contact information
Practice address
17606 COSHOCTON RD, MOUNT VERNON, OH 43050-9218
(740) 397-0533
(740) 397-0350
Mailing address
17606 COSHOCTON RD, MOUNT VERNON, OH 43050-9218
(740) 397-0533
(740) 397-0350
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
S1450673
OH
Other
Enumeration date
08/13/2014
Last updated
08/13/2014
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