Organization
THE VILLAGE NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALISA DAWN PETERS LSW (CLINICAL CASE MANAGER)
(614) 253-8050
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
(614) 253-8050
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
S.1450587
OH
Other
Enumeration date
12/30/2014
Last updated
12/30/2014
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