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Organization

DIVERSIFIED COMMUNITY SERVICES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. FRED HOWARD BORGER (PRESIDENT)
(614) 252-8688
Entity
Organization

Contact information

Practice address
479 SEYMOUR AVE, COLUMBUS, OH 43205-2566
(614) 252-8688
(614) 252-6787
Mailing address
479 SEYMOUR AVE, COLUMBUS, OH 43205-2566
(614) 252-8688
(614) 252-6787

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12656
MACIS UPI
OH
Enumeration date
07/15/2009
Last updated
07/15/2009
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