Organization
MID-ATLANTIC BUREAU OF SOBRIETY AND RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI GAULT (COUNSELOR)
(614) 627-1000
Entity
Organization
Contact information
Practice address
1336 E MAIN ST, COLUMBUS, OH 43205-2081
(646) 320-4358
Mailing address
1336 E MAIN ST, COLUMBUS, OH 43205-2081
(646) 320-4358
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
03/20/2016
Last updated
03/20/2016
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