Organization
OHIO HOSPITAL FOR PSYCHIATRY, LLC
Active
Other names
DBA Ohio Clinic for Psychiatry
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROXANNE JIVIDEN (CEO)
(614) 449-9664
Entity
Organization
Contact information
Practice address
880 GREENLAWN AVE, COLUMBUS, OH 43223-2616
(614) 449-9664
(614) 445-7509
Mailing address
880 GREENLAWN AVE, COLUMBUS, OH 43223-2616
(614) 449-9664
(614) 445-7509
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
12-2479
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2396090
—
OH
Enumeration date
02/20/2013
Last updated
08/23/2013
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