Organization
SHAWNEE MENTAL HEALTH CENTER, INC.
Active
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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