Provider Demographics
NPI:1720349434
Name:MUSKINGUM COUNTY DRUG ALCOHOL & SUBSTANCE ABUSE COUNCIL INC
Entity Type:Organization
Organization Name:MUSKINGUM COUNTY DRUG ALCOHOL & SUBSTANCE ABUSE COUNCIL INC
Other - Org Name:MUSKINGUM BEHAVIORAL HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:GAYLE
Authorized Official - Middle Name:
Authorized Official - Last Name:STEIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-454-1266
Mailing Address - Street 1:1127 WEST MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:ZANESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43701-3771
Mailing Address - Country:US
Mailing Address - Phone:740-454-1266
Mailing Address - Fax:
Practice Address - Street 1:1127 W MAIN ST
Practice Address - Street 2:
Practice Address - City:ZANESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43701
Practice Address - Country:US
Practice Address - Phone:740-454-1266
Practice Address - Fax:740-454-7650
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-30
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH01422101YA0400X, 104100000X, 1041C0700X
251S00000X, 251S00000X
OH1422251S00000X
OH251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty