| Monarch: Wings Of Kyla Foundation | |
|
680 E Main St Jackson OH 45640-2152 | |
| (740) 529-0141 | |
| (740) 577-3222 |
| Full Name | Monarch: Wings Of Kyla Foundation |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 680 E Main St, Jackson, Ohio |
| Authorized Official Name and Position | Roxanne Larrigan (OWNER/CEO/THERAPIST) |
| Authorized Official Contact | 7405290141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Monarch: Wings Of Kyla Foundation 205 S Bennett Ave Jackson OH 45640-1905 Ph: () - | Monarch: Wings Of Kyla Foundation 680 E Main St Jackson OH 45640-2152 Ph: (740) 529-0141 |
| NPI Number | 1376431544 |
|---|---|
| Provider Enumeration Date | 06/26/2025 |
| Last Update Date | 06/26/2025 |
| Certification Date | 06/25/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376431544 | NPI | - | NPPES |
| 0010435 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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