Organization
W. JOSEPH HAMBOR LISW-S
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM JOSEPH HAMBOR LISW-S (PRESIDENT/OWNER)
(614) 787-3843
Entity
Organization
Contact information
Practice address
5 W CHURCH ST, PICKERINGTON, OH 43147-1210
(614) 787-3843
(614) 321-6253
Mailing address
5 W CHURCH ST, PICKERINGTON, OH 43147-1210
(614) 787-3843
(614) 321-6253
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
I0003808
OH
261QM0855X
Adolescent and Children Mental Health Clinic/Center
I0003808
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9111115
—
OH
01
—
SW35281
MEDICARE PTAN
—
Enumeration date
01/20/2015
Last updated
01/20/2015
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