Provider Demographics
NPI:1760792014
Name:NORTHCOMMUNITYCOUNSELING CENTERS,INC.
Entity Type:Organization
Organization Name:NORTHCOMMUNITYCOUNSELING CENTERS,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:KITTREDGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-846-2588
Mailing Address - Street 1:4897 KARL RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-5147
Mailing Address - Country:US
Mailing Address - Phone:614-846-2588
Mailing Address - Fax:614-846-9759
Practice Address - Street 1:4897 KARL RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-5147
Practice Address - Country:US
Practice Address - Phone:614-846-2588
Practice Address - Fax:614-846-9759
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-20
Last Update Date:2010-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS0005309251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management