Individual
DAIZHON COX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2211 LAKE CLUB DR, COLUMBUS, OH 43232-3204
(614) 515-2693
Mailing address
581 CARPENTER ST, COLUMBUS, OH 43205-2627
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/13/2024
Last updated
09/13/2024
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