CLEANSLATE MEDICAL GROUP OF OHIO LLC is an addiction medicine internal medicine in Columbus, OH. The provider is an internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. CLEANSLATE MEDICAL GROUP OF OHIO LLC NPI is 1558800193. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
4488 W BROAD ST STE 3
COLUMBUS, OH
ZIP 43228-610
Phone: (146) 453-1589
The provider's authorized official is Robert Hutchison .
The authorized official title is Cfo and has the following contact phone number (413) 584-2173.
The CLIA number assigned to this NPI record is 22D2046786 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/15/2017 and was last updated on 3/23/2023.