| Seacrest Recovery Center Ohio, Llc | |
|
6555 Busch Blvd Columbus OH 43229-1739 | |
| (561) 990-2620 | |
| (866) 856-2122 |
| Full Name | Seacrest Recovery Center Ohio, Llc |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 6555 Busch Blvd, Columbus, Ohio |
| Authorized Official Name and Position | Josh Fenster (CEO/OWNER) |
| Authorized Official Contact | 9543044928 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Seacrest Recovery Center Ohio, Llc 6555 Busch Blvd Columbus OH 43229-1739 Ph: (561) 990-2620 | Seacrest Recovery Center Ohio, Llc 6555 Busch Blvd Columbus OH 43229-1739 Ph: (561) 990-2620 |
| NPI Number | 1780243394 |
|---|---|
| Provider Enumeration Date | 06/07/2019 |
| Last Update Date | 02/26/2020 |
| Certification Date | 02/26/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780243394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP2701X | Psychologist - Group Psychotherapy | (* (Not Available)) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Primary |
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