Healthcare Provider Details

I. General information

NPI: 1679400337
Provider Name (Legal Business Name): ALPHA RECOVERY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3805 N HIGH ST STE 307
COLUMBUS OH
43214-3539
US

IV. Provider business mailing address

3805 N HIGH ST STE 307
COLUMBUS OH
43214-3539
US

V. Phone/Fax

Practice location:
  • Phone: 614-897-9252
  • Fax: 614-737-5200
Mailing address:
  • Phone: 614-897-9252
  • Fax: 614-737-5200

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: NKENGAFAC ETCHI
Title or Position: OWNER
Credential:
Phone: 614-584-4270