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Organization

SECOND CHANCE THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HIBO ADEM RN (ADMINISTRATOR)
(614) 446-6772
Entity
Organization

Contact information

Practice address
700 MORSE RD STE 110, COLUMBUS, OH 43214-1879
(614) 468-1110
Mailing address
700 MORSE RD STE 110, COLUMBUS, OH 43214-1879
(614) 468-1110

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
261QM0850X
Adult Mental Health Clinic/Center

Other

Enumeration date
04/15/2024
Last updated
10/20/2025
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