Organization
CITY OF COLUMBUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERESA C. LONG M.D., MPH (HEALTH COMMISSIONER)
(614) 645-7002
Entity
Organization
Contact information
Practice address
240 PARSONS AVE, COLUMBUS, OH 43215-5331
(614) 645-6070
Mailing address
240 PARSONS AVE, COLUMBUS, OH 43215-5331
(614) 645-6070
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01175
AOD OUTPATIENT TREATMENT
OH
Enumeration date
11/13/2006
Last updated
06/18/2008
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