# AUTUMN TREATMENT CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104633221
- **Authorized official:** MADHUKAR NARAHARI (CEO)
- **Authorized official phone:** (614) 599-3800

## Contact information

- **Practice address:** 1176 E HOME RD, SPRINGFIELD, OH 45503-2726
- **Practice address phone:** (614) 943-3839
- **Mailing address:** 1176 E HOME RD, SPRINGFIELD, OH 45503-2726
- **Mailing address phone:** (614) 943-3839

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/12/2024
- **Last updated:** 12/12/2024