NPI:
1174235204
Provider Name:
HIGH STREET OPERATING CO., LLC
Doing Business As: LEORA COLUMBUS
Classification:
Clinic/Center - 261QR0405X
Entity Type:
Organization
Specialization: Rehabilitation, Substance Use Disorder
CLIA Number: 36D2273933
Address:
5432 N HIGH ST
COLUMBUS, OH
ZIP 43214
Phone:
(513) 530-1808
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HIGH STREET OPERATING CO., LLC is a rehabilitation and substance use disorder clinic center in Columbus, OH. HIGH STREET OPERATING CO., LLC NPI is 1174235204. The provider is registered as an organization entity type.
The provider Is Doing Business As Leora Columbus.
The provider's business location address is:
5432 N HIGH ST
COLUMBUS, OH
ZIP 43214-117
Phone: (513) 530-1808
The provider's authorized official is Yitzhak Rosedale .
The authorized official title is President and has the following contact phone number (513) 530-1808.
The CLIA number assigned to this NPI record is 36D2273933 - community clinic with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 12/20/2022 and was last updated on 11/21/2023.