Organization
COMMUNITY HEALTHCARE ASSOCIATES OF OHIO, LLC
Active
Organization
COMMUNITY HEALTHCARE ASSOCIATES OF OHIO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHESTER JAMES LARRICK LPCC-S (PRESIDENT, CEO)
(740) 685-1610
Entity
Organization
Contact information
Practice address
209 SENECA AVE UNIT D, BYESVILLE, OH 43723-1364
(740) 685-1610
(740) 685-1610
Mailing address
209 SENECA AVE., UNIT D, P.O. BOX 112, BYESVILLE, OH 43723
(740) 685-1610
(740) 685-1610
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
E-1153
OH
Other
Enumeration date
12/18/2015
Last updated
01/27/2016
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