AMETHYST INC. NPI 1609138106

NPI Information

AMETHYST, INC. is a substance abuse rehabilitation facility in Columbus, OH. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. AMETHYST, INC. NPI is 1609138106. The provider is registered as an organization entity type.
The provider Other Name Is Amethyst, Inc. Medicaid Aod.

The provider's business location address is:

455 E MOUND ST
COLUMBUS, OH
ZIP 43215-595
Phone: (614) 242-1284
Fax: (614) 242-1286

The provider's authorized official is Terry L Moore .
The authorized official title is Chief Financial Officer and has the following contact phone number (614) 242-1284.

The enumeration date for this NPI number is 6/11/2012 and was last updated on 6/11/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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