| St Vincent Family Centers | |
|
1490 E Main St Columbus OH 43205-2140 | |
| (614) 252-0731 | |
| (614) 252-8468 |
| Full Name | St Vincent Family Centers |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 1490 E Main St, Columbus, Ohio |
| Authorized Official Name and Position | Susan Lewis Kaylor (PRESIDENT/CEO) |
| Authorized Official Contact | 6142520731 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Vincent Family Centers 1490 E Main St Columbus OH 43205-2140 Ph: (614) 252-0731 | St Vincent Family Centers 1490 E Main St Columbus OH 43205-2140 Ph: (614) 252-0731 |
| NPI Number | 1609834712 |
|---|---|
| Provider Enumeration Date | 05/01/2006 |
| Last Update Date | 03/03/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609834712 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (Ohio) | Primary |
| 323P00000X | Psychiatric Residential Treatment Facility | (Ohio) | Secondary |
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