Organization
JADED UNRPOTECTED VOLATILE YOUTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NATASHA TURNER (CHIEF OPERATIONS OFFICER)
(614) 632-0076
Entity
Organization
Contact information
Practice address
2650 W BROAD ST, COLUMBUS, OH 43204-3329
(614) 290-2637
Mailing address
7850 PETER HOOVER RD, NEW ALBANY, OH 43054-9723
(614) 290-2637
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/30/2024
Last updated
11/13/2024
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