| Vitality Health And Wellness Services Inc. | |
|
6161 Busch Blvd Ste 190 Columbus OH 43229-2510 | |
| (614) 944-9099 | |
| Not Available |
| Full Name | Vitality Health And Wellness Services Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 6161 Busch Blvd Ste 190, Columbus, Ohio |
| Authorized Official Name and Position | Mohamed Burrhan Afmeged (PROGRAM SPONSOR) |
| Authorized Official Contact | 3808954698 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vitality Health And Wellness Services Inc. 6161 Busch Blvd Ste 190 Columbus OH 43229-2510 Ph: (614) 944-9099 | Vitality Health And Wellness Services Inc. 6161 Busch Blvd Ste 190 Columbus OH 43229-2510 Ph: (614) 944-9099 |
| NPI Number | 1104715507 |
|---|---|
| Provider Enumeration Date | 06/30/2025 |
| Last Update Date | 06/30/2025 |
| Certification Date | 06/30/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104715507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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