Provider Demographics
NPI:1518289016
Name:IPARTNERS IN ACTIVE LIVING THROUGH SOCIALIZATION, INC.
Entity Type:Organization
Organization Name:IPARTNERS IN ACTIVE LIVING THROUGH SOCIALIZATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:G
Authorized Official - Last Name:RINGLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-561-0777
Mailing Address - Street 1:15 W 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43201-3218
Mailing Address - Country:US
Mailing Address - Phone:614-561-0777
Mailing Address - Fax:
Practice Address - Street 1:15 W 5TH AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43201-3218
Practice Address - Country:US
Practice Address - Phone:614-561-0777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-24
Last Update Date:2010-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health