Organization
SEACREST RECOVERY CENTER OHIO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSH FENSTER (CEO/OWNER)
(954) 304-4928
Entity
Organization
Contact information
Practice address
6555 BUSCH BLVD, COLUMBUS, OH 43229-1739
(561) 990-2620
(866) 856-2122
Mailing address
6555 BUSCH BLVD, COLUMBUS, OH 43229-1739
(561) 990-2620
(866) 856-2122
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
06/07/2019
Last updated
02/26/2020
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