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Organization

VISION SUPPORT NETWORK, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
YVETTE ELLIS LCDCIII (CEO)
(614) 783-1522
Entity
Organization

Contact information

Practice address
6434 E MAIN ST STE 101, REYNOLDSBURG, OH 43068-7300
(614) 528-4471
Mailing address
6434 E MAIN ST STE 101, REYNOLDSBURG, OH 43068-7300
(614) 528-4471

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center

Other

Enumeration date
10/03/2023
Last updated
02/21/2024
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