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Organization
SOUTHWESTERN RECOVERY CENTER, LLC
Active
Organization
SOUTHWESTERN RECOVERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN DEAN (ADMINISTRATOR)
(614) 706-5206
Entity
Organization
Contact information
Practice address
2350 BRIGGS RD, COLUMBUS, OH 43223-3218
(614) 594-2141
Mailing address
2350 BRIGGS RD, COLUMBUS, OH 43223-3218
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
208D00000X
General Practice Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
12/18/2017
Last updated
02/29/2024
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