Provider Demographics
NPI:1659637288
Name:FAMILY CARE BEHAVIORAL SERVICES
Entity Type:Organization
Organization Name:FAMILY CARE BEHAVIORAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:T
Authorized Official - Last Name:MOSES
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:740-622-0017
Mailing Address - Street 1:224 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:COSHOCTON
Mailing Address - State:OH
Mailing Address - Zip Code:43812-1164
Mailing Address - Country:US
Mailing Address - Phone:740-622-0017
Mailing Address - Fax:740-622-0419
Practice Address - Street 1:224 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:COSHOCTON
Practice Address - State:OH
Practice Address - Zip Code:43812
Practice Address - Country:US
Practice Address - Phone:740-622-0017
Practice Address - Fax:740-622-0419
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-09
Last Update Date:2013-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34.0075152084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2205947Medicaid
OH2205947Medicaid
OHM04040466Medicare PIN