Organization
BASECAMP RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE JOHNSON (ADMINISTRATOR)
(614) 717-0822
Entity
Organization
Contact information
Practice address
815 W BROAD ST STE 200, COLUMBUS, OH 43222-1478
(614) 799-1906
Mailing address
815 W BROAD ST STE 200, COLUMBUS, OH 43222-1478
(614) 717-0822
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
—
—
Other
Enumeration date
05/19/2020
Last updated
11/14/2022
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