| Holistic Aba Of Central Ohio, Llc | |
|
122 Kaitlyn Dr Etna OH 43062-7115 | |
| (614) 493-7190 | |
| Not Available |
| Full Name | Holistic Aba Of Central Ohio, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 122 Kaitlyn Dr, Etna, Ohio |
| Authorized Official Name and Position | Stephanie Hukle (ADMINISTRATOR) |
| Authorized Official Contact | 6144937190 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holistic Aba Of Central Ohio, Llc Po Box 326 Etna OH 43018-0326 Ph: () - | Holistic Aba Of Central Ohio, Llc 122 Kaitlyn Dr Etna OH 43062-7115 Ph: (614) 493-7190 |
| NPI Number | 1063004711 |
|---|---|
| Provider Enumeration Date | 02/04/2021 |
| Last Update Date | 02/04/2021 |
| Certification Date | 02/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063004711 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |