Healthcare Provider Details

I. General information

NPI: 1902773146
Provider Name (Legal Business Name): ADVENTURE HEALTHCARE CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2025
Last Update Date: 10/22/2025
Certification Date: 10/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6465 E BROAD ST STE A2
COLUMBUS OH
43213-1576
US

IV. Provider business mailing address

6465 E BROAD ST STE A2
COLUMBUS OH
43213-1576
US

V. Phone/Fax

Practice location:
  • Phone: 614-915-0452
  • Fax: 614-927-0470
Mailing address:
  • Phone: 614-915-0452
  • Fax: 614-927-0470

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: DEVI C DHITAL
Title or Position: CEO
Credential:
Phone: 614-598-2192