| Southwestern Recovery Center, Llc | |
|
4461 Broadway Ste 150 Grove City OH 43123-3064 | |
| (614) 594-2141 | |
| Not Available |
| Full Name | Southwestern Recovery Center, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4461 Broadway Ste 150, Grove City, Ohio |
| Authorized Official Name and Position | Brian Dean (ADMIN) |
| Authorized Official Contact | 6147625206 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwestern Recovery Center, Llc 2350 Briggs Rd Columbus OH 43223-3218 Ph: (614) 594-2141 | Southwestern Recovery Center, Llc 4461 Broadway Ste 150 Grove City OH 43123-3064 Ph: (614) 594-2141 |
| NPI Number | 1245824788 |
|---|---|
| Provider Enumeration Date | 02/25/2021 |
| Last Update Date | 02/29/2024 |
| Certification Date | 02/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245824788 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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