| Queen Treatment Centers Inc | |
|
10 Lady Ave P.o. 978 Jackson OH 45640-1018 | |
| (740) 418-1487 | |
| Not Available |
| Full Name | Queen Treatment Centers Inc |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 10 Lady Ave, Jackson, Ohio |
| Authorized Official Name and Position | Yolanda Lynn Queen (DIRECTOR) |
| Authorized Official Contact | 7402865713 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Queen Treatment Centers Inc Po Box 978 P.o. 978 Jackson OH 45640-0978 Ph: (740) 418-1487 | Queen Treatment Centers Inc 10 Lady Ave P.o. 978 Jackson OH 45640-1018 Ph: (740) 418-1487 |
| NPI Number | 1871828012 |
|---|---|
| Provider Enumeration Date | 10/06/2009 |
| Last Update Date | 05/14/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871828012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | 324500000X (Ohio) | Primary |
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