| Positive Impact Youth Services Llc | |
|
2066 River Rock Way Reynoldsburg OH 43068-8259 | |
| (614) 615-9732 | |
| Not Available |
| Full Name | Positive Impact Youth Services Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2066 River Rock Way, Reynoldsburg, Ohio |
| Authorized Official Name and Position | Bangaly Diawara (OWNER) |
| Authorized Official Contact | 6146159733 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Positive Impact Youth Services Llc 2066 River Rock Way Reynoldsburg OH 43068-8259 Ph: (614) 615-9732 | Positive Impact Youth Services Llc 2066 River Rock Way Reynoldsburg OH 43068-8259 Ph: (614) 615-9732 |
| NPI Number | 1205771391 |
|---|---|
| Provider Enumeration Date | 04/23/2026 |
| Last Update Date | 04/23/2026 |
| Certification Date | 04/23/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205771391 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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