Organization
QUIET WATERS CLINICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTHIAN HAQUIN (OWNER / CEO)
(561) 916-9665
Entity
Organization
Contact information
Practice address
9039 ANTARES AVE STE B1, COLUMBUS, OH 43240-4067
(614) 505-0091
(614) 505-0077
Mailing address
8282 SUN FLARE DR, COLUMBUS, OH 43240-4021
(561) 916-9665
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
207Q00000X
Family Medicine Physician
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0802X
Addiction Psychiatry Physician
—
—
208D00000X
General Practice Physician
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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