Department of Veteran Affairs

NPI #1295186146 in Columbus, Ohio

Provider Information

NPI Number
1295186146
Entity Type
Organization
Organization Name
Department of Veteran Affairs
Primary Specialty
Clinic/Center - VA
Enumeration Date
Jun 22, 2016
Last Updated
Jun 22, 2016

Practice Location

Address
420 N JAMES RD
State
Ohio
ZIP Code
43219-1834
Phone
(614) 288-3103

Authorized Official

Name
MR. JUSTIN RICHARD BLACK, LSW
Title
SOCILA WORKER
Phone
(614) 288-3103

Specialties & Taxonomy Codes

Specialty
Clinic/Center - VAVA

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