Provider Demographics
NPI:1356197867
Name:CENTRAL OHIO TRANSITIONAL INITIATIVE / FOUNDATION
Entity type:Organization
Organization Name:CENTRAL OHIO TRANSITIONAL INITIATIVE / FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF DIRECTOR - FOUNDER
Authorized Official - Prefix:MR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:
Authorized Official - Last Name:GOLDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-374-3578
Mailing Address - Street 1:PO BOX 13432
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43213-0432
Mailing Address - Country:US
Mailing Address - Phone:614-374-3578
Mailing Address - Fax:
Practice Address - Street 1:5263 KORNWAL DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43232-2816
Practice Address - Country:US
Practice Address - Phone:614-374-3578
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-25
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty
No347C00000XTransportation ServicesPrivate Vehicle