| Second Chance Therapy | |
|
5938 Broomwood Loop S Columbus OH 43230-8500 | |
| (614) 446-6772 | |
| Not Available |
| Full Name | Second Chance Therapy |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 5938 Broomwood Loop S, Columbus, Ohio |
| Authorized Official Name and Position | Hibo Adem (ADMINISTRATOR) |
| Authorized Official Contact | 6144466772 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Second Chance Therapy 5938 Broomwood Loop S Columbus OH 43230-8500 Ph: (614) 446-6772 | Second Chance Therapy 5938 Broomwood Loop S Columbus OH 43230-8500 Ph: (614) 446-6772 |
| NPI Number | 1295589489 |
|---|---|
| Provider Enumeration Date | 04/15/2024 |
| Last Update Date | 04/15/2024 |
| Certification Date | 04/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295589489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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