CLINIC 5 LLC is an addiction medicine preventive medicine in Columbus, OH. The provider is a physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction. CLINIC 5 LLC NPI is 1407491970. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
1466 NORTHWEST BLVD
COLUMBUS, OH
ZIP 43212-063
Phone: (614) 598-9960
The provider's authorized official is Dan Couri .
The authorized official title is Member and has the following contact phone number (614) 598-9960.
The CLIA number assigned to this NPI record is 36D2277083 - other - behavioral health with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 11/8/2019 and was last updated on 11/8/2019.