Organization
SHAWNEE MENTAL HEALTH CENTER, INC.
Active
Other names
Shawnee Family Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA HOLSTEIN (CEO)
(740) 354-7702
Entity
Organization
Contact information
Practice address
901 WASHINGTON ST, PORTSMOUTH, OH 45662-3944
(740) 354-7702
(740) 353-1662
Mailing address
901 WASHINGTON ST, PORTSMOUTH, OH 45662-3944
(740) 355-8686
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0258330
—
OH
Enumeration date
03/15/2018
Last updated
05/09/2022
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