NPI 1104214048

The Village Network

Organisation Mental Illness Community Based Residential Treatment Facility Columbus, OH

Practice location

Address: 1751 E Long St, Columbus, OH 43203-2045
Phone: (614) 253-8050

Authorised official

Name: Malisa Dawn Peters
Title: Clinical Case Manager
Phone: (614) 253-8050

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence S.1450587 (OH)

Other Community Based Residential Treatment Facility, Mental Illness providers in Ohio →

Registry record

NPI: 1104214048
Entity type: Organization
NPI issued: 30 Dec 2014
Record last updated: 30 Dec 2014

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.