Organization
IL-CAO FAMILY GUIDANCE CENTER
Active
Organization
IL-CAO FAMILY GUIDANCE CENTER
Active
Parent organization
IRONTON LAWRENCE COUNTY CAO
Organization subpart
Yes
Provider details
NPI number
Legal business name
IRONTON LAWRENCE COUNTY CAO
Authorized official
DR. KATHIE LYNN WATSON-GRAY M.D. (MEDICAL DIRECTOR)
(740) 532-7855
Entity
Organization
Contact information
Practice address
1518 S 3RD ST, IRONTON, OH 45638-2140
(740) 532-7855
(740) 532-0557
Mailing address
1518 S 3RD ST, IRONTON, OH 45638-2140
(740) 532-7855
(740) 532-0557
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
35 074290
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770549834
—
OH
Enumeration date
06/10/2008
Last updated
06/10/2008
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