Organization
HIGHLIFE ADDICTION MEDICINE AND COUNSELING LLC
Active
Parent organization
HIGHLIFE HEALTH LLC
Other names
Highlife Addiction Medicine and Counseling
Organization subpart
Yes
Provider details
NPI number
Legal business name
HIGHLIFE HEALTH LLC
Authorized official
JONATHAN LEE HAIMES MD (MM/CEO)
(216) 543-4843
Entity
Organization
Contact information
Practice address
5925 CLEVELAND AVE, SUITE C, COLUMBUS, OH 43231-2208
(740) 601-6071
(800) 275-2415
Mailing address
5925 CLEVELAND AVE, SUITE C, COLUMBUS, OH 43231-2208
(740) 601-6071
(800) 275-2415
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
35066575
OH
Other
Enumeration date
10/18/2016
Last updated
10/18/2016
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