# NORTHWOODS CLINIC, LLC

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

## Provider details

- **NPI number:** 1841698669
- **Authorized official:** DR. DALE ROBERT RICHARDS D.O. (PRINCIPAL/OWNER)
- **Authorized official phone:** (614) 841-9763

## Contact information

- **Practice address:** 92 NORTHWOODS BLVD STE C1, COLUMBUS, OH 43235-4720
- **Practice address phone:** (614) 841-9763
- **Practice address fax:** (614) 846-1034
- **Mailing address:** 92 NORTHWOODS BLVD STE C1, COLUMBUS, OH 43235-4720
- **Mailing address phone:** (614) 841-9763
- **Mailing address fax:** (614) 846-1034

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | 34.005463 | OH | Yes |

## Other

- **Enumeration date:** 12/10/2014
- **Last updated:** 11/16/2023