Organization
DESTINY CENTER FOR RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACOB TIMOTHY ELLZEY JR. (EXECUTIVE DIRECTOR)
(614) 498-0078
Entity
Organization
Contact information
Practice address
3400 KOHR BLVD, COLUMBUS, OH 43224-3051
(614) 498-0087
(614) 498-0087
Mailing address
1350 FORSYTH CT, GALENA, OH 43021-9701
(614) 498-0078
(614) 498-0087
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
03/29/2024
Last updated
07/30/2025
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