Organization
HIGHLIFE RECOVERY, LLC
Active
Parent organization
HIGHLIFE RECOVERY, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
HIGHLIFE RECOVERY, LLC
Authorized official
DOUG LUNSFORD (CREDENTIALING SPECIALIST)
(614) 776-4646
Entity
Organization
Contact information
Practice address
5925 CLEVELAND AVE STE B, COLUMBUS, OH 43231-2209
(614) 776-4646
Mailing address
5925 CLEVELAND AVE STE B, COLUMBUS, OH 43231-2209
(614) 776-4646
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/19/2018
Last updated
07/19/2018
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