Organization
NORTH CENTRAL MENTAL HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH NIEDZWIEDSKI (CFO)
(614) 299-6600
Entity
Organization
Contact information
Practice address
1301 N HIGH ST, COLUMBUS, OH 43201-2460
(614) 299-6600
(614) 421-3111
Mailing address
1301 N HIGH ST, COLUMBUS, OH 43201-2460
(614) 299-6600
(614) 421-3111
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
1197
OH
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
0298
OH
261QM0850X
Adult Mental Health Clinic/Center
0298
OH
261QM0855X
Adolescent and Children Mental Health Clinic/Center
0298
OH
324500000X
Substance Abuse Rehabilitation Facility
2558
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004542190
AETNA
OH
05
—
0274411
—
OH
Enumeration date
04/20/2006
Last updated
10/22/2014
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