Provider First Line Business Practice Location Address:
420 NORTH JAMES ROAD
Provider Second Line Business Practice Location Address:
MENTAL HEALTH 116
Provider Business Practice Location Address City Name:
COLUMBUS
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43219
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
614-257-5200
Provider Business Practice Location Address Fax Number:
614-257-5418
Provider Enumeration Date:
05/20/2006