Organization
SPECTRUM OUTREACH SERVICES, LTD
Active
Parent organization
SPECTRUM OUTREACH SERVICES, LTD
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPECTRUM OUTREACH SERVICES, LTD
Authorized official
CHARMAINE C HOLBROOK (FINANCE COORDINATOR)
(740) 532-3767
Entity
Organization
Contact information
Practice address
214 S 4TH ST, IRONTON, OH 45638-1610
(740) 532-3767
(740) 532-3385
Mailing address
214 S 4TH ST, IRONTON, OH 45638-1610
(740) 532-3767
(740) 532-3385
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
OH
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
12344
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2876571
—
OH
Enumeration date
08/13/2018
Last updated
08/13/2018
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