| Ohio Department Of Rehabilitation And Corrections | |
|
770 W Broad St Columbus OH 43222-1419 | |
| (614) 752-1164 | |
| Not Available |
| Full Name | Ohio Department Of Rehabilitation And Corrections |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 770 W Broad St, Columbus, Ohio |
| Authorized Official Name and Position | Gary C Mohr (DIRECTOR / ODRC) |
| Authorized Official Contact | 6147521164 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ohio Department Of Rehabilitation And Corrections 770 West Broad Street Columbus OH 43222 Ph: (740) 852-2454 | Ohio Department Of Rehabilitation And Corrections 770 W Broad St Columbus OH 43222-1419 Ph: (614) 752-1164 |
| NPI Number | 1518379296 |
|---|---|
| Provider Enumeration Date | 05/29/2014 |
| Last Update Date | 05/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518379296 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 001345 (Ohio) | Primary |
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