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MID-ATLANTIC BUREAU OF SOBRIETY AND RECOVERY
NPI 1669833588
Substance Abuse Rehabilitation Facility in Columbus, OH

Active since March 20, 2016
1336 E MAIN ST, COLUMBUS, OH 43205(646) 320-4358 Get Directions Write a Review

NPPES record last updated: March 20, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mid-atlantic Bureau Of Sobriety And Recovery NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MID-ATLANTIC BUREAU OF SOBRIETY AND RECOVERY (NPI 1669833588) is a healthcare organization registered as a substance abuse rehabilitation facility in Columbus, Ohio and active in the NPI registry since March 2016. The organization lists Vicki Gault, Counselor, as its authorized official.

NPPES Registry Identity

NPI1669833588
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameMID-ATLANTIC BUREAU OF SOBRIETY AND RECOVERY
Location Address1336 E MAIN STColumbus, OH 43205-2081
Mailing Address1336 E Main StColumbus, OH 43205-2081 · (646) 320-4358
Phone(646) 320-4358
Organization SubpartNo
Authorized OfficialVicki GaultCounselor · (614) 627-1000
Enumeration DateMarch 20, 2016
✔ NPI 1669833588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
1336 E MAIN ST, Columbus, OH 43205
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHAREEKA WHITEHEAD
Case Manager/Care Coordinator
1336 E MAIN ST
COLUMBUS, OH 43205
Franklin County (614) 534-0951
AYOMIDE DAVID GBENRO
Case Manager/Care Coordinator
1336 E MAIN ST
COLUMBUS, OH 43205
Franklin County (614) 914-8781
DESIREE LACOLE BOSTIC
Case Manager/Care Coordinator
1336 E MAIN ST
COLUMBUS, OH 43205
Franklin County (614) 914-8781
NYCKY FOSSITT
Case Manager/Care Coordinator
1336 E MAIN ST
COLUMBUS, OH 43205
Franklin County (614) 914-8781
ANTION JOVAN TURNER
Case Manager/Care Coordinator
1336 E MAIN ST
COLUMBUS, OH 43205
Franklin County (419) 609-8279
TIYA MEANS
Case Manager/Care Coordinator
1336 E MAIN ST
COLUMBUS, OH 43205
Franklin County (772) 261-3480
JOI JONES
Counselor (Addiction (Substance Use Disorder))
1336 E MAIN ST
COLUMBUS, OH 43205
Franklin County (614) 534-0951
HENRY FORD
Counselor (Addiction (Substance Use Disorder))
1336 E MAIN ST
COLUMBUS, OH 43205
Franklin County (646) 327-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mid-Atlantic Bureau Of Sobriety And Recovery's NPI number?

The NPI number for Mid-Atlantic Bureau Of Sobriety And Recovery is 1669833588. It was assigned to this organization in the NPPES registry on March 20, 2016.

Where is Mid-Atlantic Bureau Of Sobriety And Recovery located?

Mid-Atlantic Bureau Of Sobriety And Recovery is located at 1336 E Main St, Columbus, OH 43205. The listed phone number is (646) 320-4358.

What is Mid-Atlantic Bureau Of Sobriety And Recovery's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Mid-Atlantic Bureau Of Sobriety And Recovery was last updated on March 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.