Organization
DEVELOPMENTAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROL ANNETTE BLINE PH.D. (CHIEF EXECUTIVE OFFICER)
(614) 578-1185
Entity
Organization
Contact information
Practice address
4605 MORSE RD STE 201, GAHANNA, OH 43230-7300
(614) 578-1165
(614) 388-5561
Mailing address
4605 MORSE RD STE 201, GAHANNA, OH 43230-7300
(614) 578-1165
(614) 388-5561
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
5339
OH
Other
Enumeration date
11/07/2017
Last updated
11/19/2024
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