Organization · Type 2 NPI

Vertava Health Outpatient Ohio LLC

Substance Use Disorder Rehabilitation Clinic/Center · Westerville, OH

NPI number 1780273433 Active

Practice location

110 Polaris Pkwy Ste 210
Westerville, OH 43082-8070

Call (614) 964-1622 Map

Fax (614) 964-1805

Mailing address

PO Box 90368
Nashville, TN 37209-0368

Specialties and licenses

Taxonomy	Code	License
Mental Health Clinic/Center (Including Community Mental Health Center)	261QM0801X	None listed
Substance Use Disorder Rehabilitation Clinic/Center Primary	261QR0405X	None listed

Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...

NPI record

NPI: 1780273433
Entity type: Organization (Type 2)
Issued: Jan 15, 2021
Last updated: Sep 14, 2021
Status: Active
Subpart: Yes of Vertava Health Outpatient Ohio LLC

Other names

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Vertava Health Outpatient Ohio - Westerville · doing business as
Vertava Health Outpatient Ohio - Westerville · doing business as

Authorized official

Leigh Ann Thompson
SR Director
(615) 921-4447

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1780273433

Vertava Health Outpatient Ohio LLC's National Provider Identifier is 1780273433, issued on Jan 15, 2021. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Westerville, OH. The record was last updated on Sep 14, 2021.