Basic Information
| Provider Information | |||||||||
| NPI: | 1639292568 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | THE NEIGHBORHOOD HOUSE, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1000 ATCHESON ST | ||||||||
| Address2: | |||||||||
| City: | COLUMBUS | ||||||||
| State: | OH | ||||||||
| PostalCode: | 432031353 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6142524941 | ||||||||
| FaxNumber: | 6142527919 | ||||||||
| Practice Location | |||||||||
| Address1: | 1000 ATCHESON ST | ||||||||
| Address2: | |||||||||
| City: | COLUMBUS | ||||||||
| State: | OH | ||||||||
| PostalCode: | 432031353 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6142524941 | ||||||||
| FaxNumber: | 6142527919 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/07/2007 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | HUFF | ||||||||
| AuthorizedOfficialFirstName: | ALLEN | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | CHIEF EXECUTIVE OFFICER | ||||||||
| AuthorizedOfficialTelephone: | 6142524941 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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| AuthorizedOfficialCredential: | MSSA, LISW | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 324500000X | 01563 | OH | Y | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility |
No ID Information.