Organization
THE VILLAGE NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANGEL SHARP LSW (CLINICAL CASE MANAGER)
(330) 429-4912
Entity
Organization
Contact information
Practice address
1751 E LONG ST, COLUMBUS, OH 43203-2045
(614) 253-8050
Mailing address
1751 E LONG ST, COLUMBUS, OH 43203-2045
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
S.1200569
OH
Other
Enumeration date
10/24/2013
Last updated
10/24/2013
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