Organization
WOODLAND CENTERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY JO FRANK PH.D. (EXECUTIVE DIRECTOR)
(740) 446-5500
Entity
Organization
Contact information
Practice address
3086 STATE ROUTE 160, GALLIPOLIS, OH 45631-8409
(740) 446-5500
(740) 441-4402
Mailing address
3086 STATE ROUTE 160, GALLIPOLIS, OH 45631-8409
(740) 446-5500
(740) 441-4402
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0253701
—
OH
Enumeration date
05/22/2012
Last updated
05/22/2012
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