Homeland Addiction Treatment Center Llc | |
3505 E Livingston Ave Ste G Columbus OH 43227-2252 | |
(614) 715-8216 | |
(614) 715-8239 |
Full Name | Homeland Addiction Treatment Center Llc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 3505 E Livingston Ave Ste G, Columbus, Ohio |
Authorized Official Name and Position | Kingsley Eyong Enow (NP/PROVIDER) |
Authorized Official Contact | 6147158216 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Homeland Addiction Treatment Center Llc 3505 E Livingston Ave Ste G Columbus OH 43227-2252 Ph: (614) 715-8216 | Homeland Addiction Treatment Center Llc 3505 E Livingston Ave Ste G Columbus OH 43227-2252 Ph: (614) 715-8216 |
NPI Number | 1083461123 |
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Provider Enumeration Date | 05/06/2024 |
Last Update Date | 05/06/2024 |
Certification Date | 05/06/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083461123 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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