Organization
COMMUNITY OHIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSALINDA LOGAN-PETERS CPPM,COBGC (REVENUE CYCLE MANAGER)
(731) 935-9267
Entity
Organization
Contact information
Practice address
1730 S HIGH ST, COLUMBUS, OH 43207-1862
(614) 500-4150
(877) 540-0067
Mailing address
2321 TAYLOR PARK DR # 1036, REYNOLDSBURG, OH 43068-8052
(614) 500-4150
(877) 540-0067
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
171000000X
Military Health Care Provider
—
—
171M00000X
Case Manager/Care Coordinator
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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