Jaz Cicero Santana Boyce

NPI #1083067896 in Columbus, Ohio

Provider Information

NPI Number
1083067896
Entity Type
Individual
Name
Jaz Cicero Santana Boyce
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Jul 16, 2016
Last Updated
Jun 6, 2023

Practice Location

Address
3118 HOUSTON DR
State
Ohio
ZIP Code
43207-3398
Phone
(614) 407-6352

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Physical Disabilities
Community Based Residential Treatment Facility, Mental Illness
Residential Treatment Facility, Emotionally Disturbed Children
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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