Organization
COLUMBUS ICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA M COLON (PROGRAM DIRECTOR)
(614) 233-1423
Entity
Organization
Contact information
Practice address
4532 KATHERINE DR, COLUMBUS, OH 43232-5646
(347) 245-1588
Mailing address
4532 KATHERINE DR, COLUMBUS, OH 43232-5646
(347) 245-1588
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/13/2025
Last updated
02/13/2025
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