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Organization

CHOICES FOR VICTIMS OF DOMESTIC VIOLENCE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARIA HOUSTON PSYD (EXECUTIVE DIRECTOR)
(614) 453-4383
Entity
Organization

Contact information

Practice address
2225 N CASSADY AVE, COLUMBUS, OH 43219-1512
(614) 224-6617
(614) 337-1186
Mailing address
1105 SCHROCK RD STE 100, COLUMBUS, OH 43229-1165
(614) 224-6617
(614) 337-1186

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
078
OH
251B00000X
Case Management Agency
Primary
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
MC-17-60
OH
Enumeration date
10/11/2006
Last updated
06/11/2024
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