Provider Demographics
NPI:1639145444
Name:MORGAN BEHAVIORAL HEALTH CHOICES
Entity Type:Organization
Organization Name:MORGAN BEHAVIORAL HEALTH CHOICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ELAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:SHUSTER
Authorized Official - Suffix:
Authorized Official - Credentials:LCDCIII, OCPSII
Authorized Official - Phone:740-962-6933
Mailing Address - Street 1:915 S RIVERSIDE DR NE
Mailing Address - Street 2:P.O. BOX 522
Mailing Address - City:MC CONNELSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43756-9102
Mailing Address - Country:US
Mailing Address - Phone:740-962-6933
Mailing Address - Fax:740-962-6305
Practice Address - Street 1:915 S RIVERSIDE DR NE
Practice Address - Street 2:
Practice Address - City:MC CONNELSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43756-9102
Practice Address - Country:US
Practice Address - Phone:740-962-6933
Practice Address - Fax:740-962-6305
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-23
Last Update Date:2012-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1547251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare