Organization
RESTORING OUR OWN THROUGH TRANSFORMATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JESSICA M ROACH LPN, BA, MPH (CEO)
(614) 398-1766
Entity
Organization
Contact information
Practice address
899 E BROAD ST, COLUMBUS, OH 43205-1156
(614) 398-1766
Mailing address
899 E BROAD ST, COLUMBUS, OH 43205-1156
Taxonomy
Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary
—
—
Other
Enumeration date
04/25/2019
Last updated
04/25/2019
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