Columbus Ice | |
4532 Katherine Dr Columbus OH 43232-5646 | |
(347) 245-1588 | |
Not Available |
Full Name | Columbus Ice |
---|---|
Speciality | Clinic/center - Adolescent And Children Mental Health |
Location | 4532 Katherine Dr, Columbus, Ohio |
Authorized Official Name and Position | Christina M Colon (PROGRAM DIRECTOR) |
Authorized Official Contact | 6142331423 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Columbus Ice 4532 Katherine Dr Columbus OH 43232-5646 Ph: (347) 245-1588 | Columbus Ice 4532 Katherine Dr Columbus OH 43232-5646 Ph: (347) 245-1588 |
NPI Number | 1720883937 |
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Provider Enumeration Date | 02/13/2025 |
Last Update Date | 02/13/2025 |
Certification Date | 02/13/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720883937 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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