| Impact Prevention | |
|
22 Private Drive 2824 Apt B South Point OH 45680-7109 | |
| (740) 646-1922 | |
| Not Available |
| Full Name | Impact Prevention |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 22 Private Drive 2824 Apt B, South Point, Ohio |
| Authorized Official Name and Position | John K. Goodwin (HUMAN RESOURCES/CO OWNER) |
| Authorized Official Contact | 7406461922 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Impact Prevention Po Box 809 South Point OH 45680-0809 Ph: (740) 646-1922 | Impact Prevention 22 Private Drive 2824 Apt B South Point OH 45680-7109 Ph: (740) 646-1922 |
| NPI Number | 1043663925 |
|---|---|
| Provider Enumeration Date | 07/15/2016 |
| Last Update Date | 07/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043663925 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Ohio) | Primary |
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