Organization Name: | PREVENTION COUNCIL OF CENTRAL OHIO |
NPI Number: | 1083676530 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TRACI MASON (EXECUTIVE DIRECTOR) |
Mailing Address: | 400 E Mound St Suite 100 Columbus |
State: | OH US |
Postal Code: | 432155513 |
Phone Number: | 6142208572 |
Fax Number: | 6142208796 |
NPI Enumeration Date: | 04/03/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |