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JOHN BLAKE

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

NPI: 1134924475Individual

Specialties, Licenses & Credentials

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Code: 320900000X

0017165(WI)

Contact & Hours

Via practice · 2 locations total

Address
2323 LAKE CLUB DR STE 301
COLUMBUS, OH 43232

Quick Facts

NPI
1134924475
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
1
Locations
2

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