Organization
DIAMONDS IN ROUGH MENTORING PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA JACKSON (CEO/FOUNDER)
(614) 966-2271
Entity
Organization
Contact information
Practice address
3787 PENDENT LN, COLUMBUS, OH 43207-3479
(614) 966-2271
Mailing address
3787 PENDENT LN, COLUMBUS, OH 43207-3479
(614) 966-2271
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
02/17/2023
Last updated
02/17/2023
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