| Community Alliance For Youth And Adults Llc | |
|
6500 Emerald Pkwy Ste 100 Dublin OH 43016-6236 | |
| (614) 689-3419 | |
| Not Available |
| Full Name | Community Alliance For Youth And Adults Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 6500 Emerald Pkwy Ste 100, Dublin, Ohio |
| Authorized Official Name and Position | Talissa Denise Peoples (CEO) |
| Authorized Official Contact | 2144970753 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Alliance For Youth And Adults Llc 2550 Chestnut Oak Way Columbus OH 43228-9169 Ph: (216) 502-7598 | Community Alliance For Youth And Adults Llc 6500 Emerald Pkwy Ste 100 Dublin OH 43016-6236 Ph: (614) 689-3419 |
| NPI Number | 1760003420 |
|---|---|
| Provider Enumeration Date | 05/04/2020 |
| Last Update Date | 02/04/2022 |
| Certification Date | 02/04/2022 |
| Medicare PECOS PAC ID | 0143601484 |
|---|---|
| Medicare Enrollment ID | O20220719000695 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760003420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Natalie A Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801924279 PECOS PAC ID: 9537436647 Enrollment ID: I20170522000046 |
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