Organization
UMCH FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN REILLY LISW-S (EXECUTIVE DIRECTOR)
(614) 885-5020
Entity
Organization
Contact information
Practice address
431 E BROAD ST, COLUMBUS, OH 43215-4004
(614) 885-5020
(614) 885-4058
Mailing address
431 E BROAD ST, COLUMBUS, OH 43215-4004
(614) 885-5020
(614) 885-4058
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
C.0900670
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3082515
—
OH
Enumeration date
03/28/2013
Last updated
09/22/2021
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