| NPI | 1639635899 |
|---|---|
| Doing Business As | NORTH EAST COLUMBUS ADDICTION CENTER |
| Entity Type | Organization |
| Authorized Contact | BARBARA J BLASH Billing Officer 330-374-1199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2019-02-13 |
| Last Update Date | 2019-02-13 |