Stacy Martin, LLC
Community/Behavioral Health in Gahanna, OH. Organization (NPI-2).
NPI number1174076699
StatusActive
Last updated in NPPESMar 7, 2018
Details
- NPI
- 1174076699
- Entity type
- Organization (NPI-2)
- Legal business name
- Stacy Martin, LLC
- Organization subpart
- No
- Enumeration date
- Aug 2, 2016
- Last updated
- Mar 7, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
882 Eastchester DrGahanna, OH 43230-5137
Phone 919-771-3930
Mailing address
882 Eastchester DrGahanna, OH 43230-5137
Phone 919-771-3930
Authorized official
Stacy Martin
Owner
9197713930
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