Organization
RESET TODAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RASHEEDAH BILES (OWNER)
(614) 805-2995
Entity
Organization
Contact information
Practice address
2211 LAKE CLUB DR STE 105, COLUMBUS, OH 43232-3204
(614) 805-2995
Mailing address
651 NORFOLK SQ S, PICKERINGTON, OH 43147-2064
(614) 805-2995
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
174200000X
Meals Provider
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
10/14/2022
Last updated
03/17/2023
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