Organization
OHIO CENTER FOR ADOLESCENT WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD THATCHER (CHIEF FINANCIAL OFFICER)
(754) 217-8127
Entity
Organization
Contact information
Practice address
150 E WILSON BRIDGE RD STE 100, WORTHINGTON, OH 43085-2328
(888) 920-6370
Mailing address
150 E WILSON BRIDGE RD STE 100, WORTHINGTON, OH 43085-2328
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/20/2024
Last updated
11/20/2024
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