Organization
ADAM INDIVIDUAL RECOVERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA ADAMS (CEO)
(614) 206-8165
Entity
Organization
Contact information
Practice address
3128 E 17TH AVE STE L, COLUMBUS, OH 43219-2300
(614) 206-8165
(614) 532-5219
Mailing address
3128 E 17TH AVE, COLUMBUS, OH 43219-2300
(614) 206-8165
(614) 532-5219
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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