Healthcare Provider Details

I. General information

NPI: 1275112815
Provider Name (Legal Business Name): AUTUMN TREATMENT CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2021
Last Update Date: 03/12/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

321 E COURT ST
WASHINGTON COURT HOUSE OH
43160-1401
US

IV. Provider business mailing address

485 METRO PL S STE 101
DUBLIN OH
43017-5374
US

V. Phone/Fax

Practice location:
  • Phone: 740-506-4113
  • Fax:
Mailing address:
  • Phone: 888-916-1114
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MADHUKAR NARAHARI
Title or Position: CEO
Credential:
Phone: 614-599-3800