THE RECOVERY VILLAGE COLUMBUS LLC NPI 1093251225

NPI Information

THE RECOVERY VILLAGE COLUMBUS, LLC is a substance abuse rehabilitation facility in Groveport, 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. THE RECOVERY VILLAGE COLUMBUS, LLC NPI is 1093251225. The provider is registered as an organization entity type.

The provider's business location address is:

3964 HAMILTON SQUARE BLVD
GROVEPORT, OH
ZIP 43125-119
Phone: (754) 300-3120
Fax: (888) 919-4321

The provider's authorized official is Belina Surujon .
The authorized official title is Licensing & Contracting Director and has the following contact phone number (754) 300-3120.

The CLIA number assigned to this NPI record is 21D2125259 - other - sub abuse tx facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/11/2017 and was last updated on 6/17/2019.

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:

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