Organization
LAND OF GOSHEN TREATMENT CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY SMITH (PROGRAM DIRECTOR)
(740) 442-7875
Entity
Organization
Contact information
Practice address
81 TOWNSHIP ROAD 349, IRONTON, OH 45638-8617
(740) 449-7875
Mailing address
81 TOWNSHIP ROAD 349, IRONTON, OH 45638-8617
(740) 449-7875
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0164622
—
OH
Enumeration date
03/02/2016
Last updated
10/19/2021
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