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Ian Edwards
Mental Illness Community Based Residential Treatment Facility in Portsmouth, Ohio
NPI 1427618404

Ian Edwards is a Mental Illness Community Based Residential Treatment Facility based in Portsmouth, OH. Ian Edwards practices in Portsmouth, OH. The NPI Number for Ian Edwards is 1427618404 and holds a License No. (Ohio).

The current practice location address for Ian Edwards is 1345 Shela Blvd Apt 7, Portsmouth, OH and can be reached out via phone at 740-406-1421. You can also correspond with Ian Edwards through the mailing address at 1345 SHELA BLVD APT 7, PORTSMOUTH, OH - 45662-8981 (mailing address contact number: 740-406-1421).

Location: 1345 Shela Blvd Apt 7, Portsmouth, OH, 45662-8981
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427618404
Provider Name
Ian Edwards
Credential
Provider Entity Type
Individual
Gender
Male
Address
1345 Shela Blvd Apt 7, Portsmouth, OH, 45662-8981
Phone Number
740-406-1421
Fax Number
Provider Enumeration Date
06/20/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1345 Shela Blvd Apt 7
City
Portsmouth
State
Ohio
Zip
45662-8981
Phone Number
740-406-1421
Fax Number
person
Provider Business Mailing Address Details
Address
1345 Shela Blvd Apt 7
City
Portsmouth
State
Ohio
Zip
45662-8981
Phone Number
740-406-1421
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
()
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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