Organization
MENTAL HEALTH AND ADDITIVE SERVICES
Active
Parent organization
SOUTHEASTERN CORRECTIONAL
Other names
Southeastrn Correctional
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHEASTERN CORRECTIONAL
Authorized official
MR. RICHARD G GETTINGS LPCC-S (CORRECTIIONAL PROGRAM COORNATOR)
(740) 653-4324
Entity
Organization
Contact information
Practice address
RR 1 BOX 549, SUGAR GROVE, OH 43155-9627
(740) 653-4324
Mailing address
5900 BIS RD SW, LANCASTER, OH 43130-9606
(740) 653-4324
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
PCC-SE177
OH
Other
Enumeration date
09/22/2016
Last updated
09/22/2016
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