Organization
OHIO STATE UNIVERSITY WEXNER MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN CHISHOLM LISW-S (PSYCHIATRIC EMERGENCY SERVICES CLIN)
(614) 685-9056
Entity
Organization
Contact information
Practice address
1670 UPHAM DR, COLUMBUS, OH 43210-1250
(614) 685-9056
Mailing address
1670 UPHAM DR, COLUMBUS, OH 43210-1250
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
I.1500390-SUPV
OH
Other
Enumeration date
11/04/2016
Last updated
11/04/2016
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