Organization
SOUTHERN OHIO COUNSELING AND SOBER LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL M LATHAM (BILLING/CREDENTIALING MANAGER)
(937) 544-4020
Entity
Organization
Contact information
Practice address
607 E 7TH ST, MANCHESTER, OH 45144-1559
(937) 544-4020
(937) 544-4009
Mailing address
607 E 7TH ST, MANCHESTER, OH 45144-1559
(937) 544-4020
(937) 544-4009
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/14/2021
Last updated
04/14/2021
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