Child & Adult Guidance Center | |
1000 E Broad St Ste 202 Columbus OH 43205-1333 | |
(614) 294-0526 | |
(614) 294-0526 |
Full Name | Child & Adult Guidance Center |
---|---|
Speciality | Clinic/center |
Location | 1000 E Broad St Ste 202, Columbus, Ohio |
Authorized Official Name and Position | George E. Serednesky (PRESIDENT) |
Authorized Official Contact | 6142940526 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Child & Adult Guidance Center 1000 E Broad St Ste 202 Columbus OH 43205-1333 Ph: (614) 294-0526 | Child & Adult Guidance Center 1000 E Broad St Ste 202 Columbus OH 43205-1333 Ph: (614) 294-0526 |
NPI Number | 1366618878 |
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Provider Enumeration Date | 05/05/2008 |
Last Update Date | 06/07/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366618878 | NPI | - | NPPES |
0262139 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 103TC0700X (Ohio) | Primary |
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