| Diversified Community Services, Inc. | |
|
479 Seymour Ave Columbus OH 43205-2566 | |
| (614) 252-8688 | |
| (614) 252-6787 |
| Full Name | Diversified Community Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 479 Seymour Ave, Columbus, Ohio |
| Authorized Official Name and Position | Fred Howard Borger (PRESIDENT) |
| Authorized Official Contact | 6142528688 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diversified Community Services, Inc. 479 Seymour Ave Columbus OH 43205-2566 Ph: (614) 252-8688 | Diversified Community Services, Inc. 479 Seymour Ave Columbus OH 43205-2566 Ph: (614) 252-8688 |
| NPI Number | 1104056977 |
|---|---|
| Provider Enumeration Date | 07/15/2009 |
| Last Update Date | 07/15/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104056977 | NPI | - | NPPES |
| 12656 | Other | OH | MACIS UPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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