Basic Information
| Provider Information | |||||||||
| NPI: | 1215470935 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | NORTH COMMUNITY COUNSELING CENTERS INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1855 E DUBLIN GRANVILLE RD | ||||||||
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| City: | COLUMBUS | ||||||||
| State: | OH | ||||||||
| PostalCode: | 432293516 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6142677003 | ||||||||
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| Practice Location | |||||||||
| Address1: | 4897 KARL RD | ||||||||
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| City: | COLUMBUS | ||||||||
| State: | OH | ||||||||
| PostalCode: | 432295147 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6148462588 | ||||||||
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| ProviderEnumerationDate: | 11/29/2016 | ||||||||
| LastUpdateDate: | 11/29/2016 | ||||||||
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| AuthorizedOfficialLastName: | KERNS | ||||||||
| AuthorizedOfficialFirstName: | KATRINA | ||||||||
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| AuthorizedOfficialTitleorPosition: | HR | ||||||||
| AuthorizedOfficialTelephone: | 6142677003 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 310500000X | 161570 | OH | Y | Nursing & Custodial Care Facilities | Intermediate Care Facility, Mental Illness |
No ID Information.