SEACREST RECOVERY CENTER OHIO LLC NPI 1780243394

NPI Information

SEACREST RECOVERY CENTER OHIO, LLC 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. SEACREST RECOVERY CENTER OHIO, LLC NPI is 1780243394. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6555 BUSCH BLVD
COLUMBUS, OH
ZIP 43229-739
Phone: (561) 990-2620
Fax: (866) 856-2122

The provider's authorized official is Josh Fenster .
The authorized official title is Ceo/owner and has the following contact phone number (954) 304-4928.

The CLIA number assigned to this NPI record is 36D2177218 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/7/2019 and was last updated on 2/26/2020.

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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