NPI 1033860283
Customized Behavioral Healthcare
Practice location
- Address
- 3244 Henderson Rd STE 4, Columbus, OH 43220-7300
- Phone
- (614) 664-3175
- Fax
- (614) 386-1692
Authorised official
- Name
- Anthony Lamont Rivers
- Title
- Owner
- Phone
- (614) 664-3175
Registered specialties
Clinical Psychologist
Primary
Registry record
- NPI
- 1033860283
- Entity type
- Organization
- NPI issued
- 10 Jan 2022
- Record last updated
- 28 Jul 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.