Organization
ADDICTION ANGELS OF AMERICA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN DEAN (ADMIN)
(614) 396-7850
Entity
Organization
Contact information
Practice address
1525 BETHEL RD, COLUMBUS, OH 43220-2054
(614) 396-7850
Mailing address
1525 BETHEL RD, COLUMBUS, OH 43220-2054
(614) 396-7850
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36D2086497
CLIA
—
Enumeration date
01/25/2018
Last updated
06/20/2019
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