| Vitality Community Care Center | |
|
2686 Crossroads Plaza Dr Columbus OH 43219-3442 | |
| (614) 664-3331 | |
| Not Available |
| Full Name | Vitality Community Care Center |
|---|---|
| Speciality | Psychiatry & Neurology - Addiction Medicine |
| Location | 2686 Crossroads Plaza Dr, Columbus, Ohio |
| Authorized Official Name and Position | Latonya Carroll (PRESIDENT) |
| Authorized Official Contact | 6146443331 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vitality Community Care Center 1391 W 5th Ave # 241 Columbus OH 43212-2902 Ph: (614) 664-3331 | Vitality Community Care Center 2686 Crossroads Plaza Dr Columbus OH 43219-3442 Ph: (614) 664-3331 |
| NPI Number | 1699516401 |
|---|---|
| Provider Enumeration Date | 06/05/2024 |
| Last Update Date | 06/05/2024 |
| Certification Date | 06/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699516401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | (* (Not Available)) | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
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