Healthcare Provider Details

I. General information

NPI: 1710019112
Provider Name (Legal Business Name): SYNTAXIS YOUTH HOMES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2824 JOYCE AVE
COLUMBUS OH
43211-1793
US

IV. Provider business mailing address

5900 SHARON WOODS BLVD STE A
COLUMBUS OH
43229-2600
US

V. Phone/Fax

Practice location:
  • Phone: 614-895-6818
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3245S0500X
TaxonomyChildren's Substance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. JOSEPH V. FRIEND
Title or Position: CEO
Credential:
Phone: 614-895-6818