Organization
TYEISHA PARKS
Active
Other names
Columbus Diamonds
Organization subpart
No
Provider details
NPI number
Authorized official
TYEISHA PARKS (OWNER)
(614) 597-9161
Entity
Organization
Contact information
Practice address
500 MADISON AVE STE 200, TOLEDO, OH 43604-1230
(614) 597-9161
Mailing address
5679 SUTTERTON LN, WESTERVILLE, OH 43081-5230
(614) 597-9161
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/29/2024
Last updated
01/22/2025
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