| Foundation Youth Intervention | |
|
2177 E Livingston Ave Columbus OH 43209-2853 | |
| (614) 615-0002 | |
| Not Available |
| Full Name | Foundation Youth Intervention |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2177 E Livingston Ave, Columbus, Ohio |
| Authorized Official Name and Position | Deon Padgett (OWNER) |
| Authorized Official Contact | 6146150002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foundation Youth Intervention 128 Ship Ml Apt 204 Columbus OH 43207-3792 Ph: (614) 615-0002 | Foundation Youth Intervention 2177 E Livingston Ave Columbus OH 43209-2853 Ph: (614) 615-0002 |
| NPI Number | 1194663047 |
|---|---|
| Provider Enumeration Date | 03/23/2026 |
| Last Update Date | 03/23/2026 |
| Certification Date | 03/23/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194663047 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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