Provider First Line Business Practice Location Address:
543 TAYLOR AVENUE
Provider Second Line Business Practice Location Address:
DEPARTMENT OF MENTAL HEALTH AND BEHAVIORAL SCIENCES
Provider Business Practice Location Address City Name:
COLUMBUS
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43203
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
614-247-5420
Provider Business Practice Location Address Fax Number:
614-257-5418
Provider Enumeration Date:
10/05/2006