Organization
BOUNDLESS HEALTH, INC.
Active
Other names
Boundless Behavioral Health, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DERRICK YOUNG (CONTRACTING CREDENTIALING MANAGER)
(614) 844-2124
Entity
Organization
Contact information
Practice address
445 E DUBLIN GRANVILLE RD, WORTHINGTON, OH 43085
(614) 844-3800
Mailing address
445 E DUBLIN GRANVILLE RD, WORTHINGTON, OH 43085
(614) 844-3800
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
01/08/2021
Last updated
10/20/2021
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