# THE BUCKEYE RANCH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ohio State University
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699040691
- **Authorized official:** PATRICIA GENTILE M.D. (PSYCHIATRIST)
- **Authorized official phone:** (614) 539-6563

## Contact information

- **Practice address:** 5665 HOOVER RD, GROVE CITY, OH 43123-9122
- **Practice address phone:** (614) 539-6563
- **Mailing address:** 5665 HOOVER RD, GROVE CITY, OH 43123-9122
- **Mailing address phone:** (614) 539-6563

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | RN.142283-NP | OH | Yes |

## Other

- **Enumeration date:** 03/09/2012
- **Last updated:** 03/09/2012