Organization
ALVIS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LENORA ISAACS (CREDENTIALING COORDINATOR)
(614) 502-7812
Entity
Organization
Contact information
Practice address
455 E MOUND ST, COLUMBUS, OH 43215-5595
(614) 242-1284
(614) 242-1285
Mailing address
2100 STELLA CT, COLUMBUS, OH 43215-1011
(614) 502-7812
(614) 252-7987
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1386993350
OHMHAS AOD NPI
OH
Enumeration date
05/09/2017
Last updated
04/25/2023
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