Organization
ADVANCED RECOVERY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AALIYAH FAUNTLEROY (COO)
(614) 353-4232
Entity
Organization
Contact information
Practice address
326 S HIGH ST, STE 200, COLUMBUS, OH 43215-4525
(614) 918-3330
Mailing address
326 S HIGH ST, STE 200, COLUMBUS, OH 43215-4525
(614) 918-3330
Taxonomy
Speciality
Code
Description
License number
State
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
Primary
276400000X
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972996213
—
OH
Enumeration date
08/15/2016
Last updated
08/15/2016
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