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Organization

CHILDREN'S PSYCHIATRIST, LLC

Active
Parent organization
NATIONWIDE CHILDREN'S HOSPITAL
Organization subpart
Yes

Provider details

NPI number
Legal business name
NATIONWIDE CHILDREN'S HOSPITAL
Authorized official
DEBORAH RUTHERFORD (SERVICE LINE ADMINISTRATOR)
(614) 722-2290
Entity
Organization

Contact information

Practice address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-2290
(614) 722-3235
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-2290
(614) 722-3235

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Enumeration date
04/15/2014
Last updated
04/15/2014
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