| Ohio Gambling Telehealth Network | |
|
355 E Campus View Blvd Ste 285 Columbus OH 43235-5680 | |
| (614) 750-9899 | |
| Not Available |
| Full Name | Ohio Gambling Telehealth Network |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 355 E Campus View Blvd Ste 285, Columbus, Ohio |
| Authorized Official Name and Position | Derek Longmeier (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6147509899 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ohio Gambling Telehealth Network 355 E Campus View Blvd Ste 285 Columbus OH 43235-5680 Ph: () - | Ohio Gambling Telehealth Network 355 E Campus View Blvd Ste 285 Columbus OH 43235-5680 Ph: (614) 750-9899 |
| NPI Number | 1720865579 |
|---|---|
| Provider Enumeration Date | 09/13/2023 |
| Last Update Date | 10/23/2024 |
| Certification Date | 10/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720865579 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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