Organization
VERTAVA HEALTH OUTPATIENT OHIO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEIGH ANN THOMPSON (SENIOR DIRECTOR)
(615) 921-4447
Entity
Organization
Contact information
Practice address
6880 PERIMETER DR, DUBLIN, OH 43016-2520
(330) 204-6661
Mailing address
PO BOX 90368, NASHVILLE, TN 37209-0368
(615) 921-4447
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
10/15/2020
Last updated
09/14/2021
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