Organization
HOMELAND ADDICTION TREATMENT CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KINGSLEY EYONG ENOW NP (NP/PROVIDER)
(614) 715-8216
Entity
Organization
Contact information
Practice address
3505 E LIVINGSTON AVE STE G, COLUMBUS, OH 43227-2252
(614) 715-8216
(614) 715-8239
Mailing address
3505 E LIVINGSTON AVE STE G, COLUMBUS, OH 43227-2252
(614) 715-8216
(614) 715-8239
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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