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Ctc Fairfield INC

Clinic/Center, Mental Health (Including Community Mental Health Center) in West Union, OH. Organization (NPI-2).

NPI number1407664949
StatusActive
Last updated in NPPESSep 18, 2026

Details

NPI
1407664949
Entity type
Organization (NPI-2)
Legal business name
Ctc Fairfield INC
Organization subpart
No
Enumeration date
Dec 30, 2024
Certification date
Sep 18, 2026
Last updated
Sep 18, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Practice location

101 South Cross St.
West Union, OH 45693-1208

Phone 740-351-9298 · Fax 740-529-0553

Mailing address

96 Linwood Plz Ste 303
Fort Lee, NJ 07024-3701

Phone 740-351-9298 · Fax 740-529-0553

Authorized official

Svetlana Maryash
Co-Owner
2017878481

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