Organization
PUSH FOR RECOVERY, LLC
Active
Other names
Fannin Consulting Services & Associates, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD FANNIN (OWNER)
(614) 507-0713
Entity
Organization
Contact information
Practice address
3880 CLIME ROAD, BUILDING 2/SUITE A, COLUMBUS, OH 43228-3532
(614) 507-0713
Mailing address
5944 EPERNAY WAY, GALLOWAY, OH 43119-8588
(614) 507-0713
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
09/05/2020
Last updated
09/05/2020
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