Basic Information
| Provider Information | |||||||||
| NPI: | 1639145444 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | MORGAN BEHAVIORAL HEALTH CHOICES | ||||||||
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| Mailing Information | |||||||||
| Address1: | 915 S RIVERSIDE DR NE | ||||||||
| Address2: | P.O. BOX 522 | ||||||||
| City: | MC CONNELSVILLE | ||||||||
| State: | OH | ||||||||
| PostalCode: | 437569102 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7409626933 | ||||||||
| FaxNumber: | 7409626305 | ||||||||
| Practice Location | |||||||||
| Address1: | 915 S RIVERSIDE DR NE | ||||||||
| Address2: | |||||||||
| City: | MC CONNELSVILLE | ||||||||
| State: | OH | ||||||||
| PostalCode: | 437569102 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7409626933 | ||||||||
| FaxNumber: | 7409626305 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/23/2006 | ||||||||
| LastUpdateDate: | 04/12/2012 | ||||||||
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| AuthorizedOfficialLastName: | SHUSTER | ||||||||
| AuthorizedOfficialFirstName: | ELAINE | ||||||||
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| AuthorizedOfficialTitleorPosition: | EXECUTIVE DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 7409626933 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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| AuthorizedOfficialCredential: | LCDCIII, OCPSII | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251K00000X | 1547 | OH | Y | Agencies | Public Health or Welfare |
No ID Information.