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General NPI Number Information
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NPI Number | 1518224799
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Entity Type | Organization
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Legal Business Name | DIRECTIONS FOR YOUTH & FAMILIES, INC.
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Dates
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Enumeration Date | 04/12/2012
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Last Update Date | 04/12/2012
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Provider Practice Location Address
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Address Line | 1414 E BROAD ST
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City | COLUMBUS
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State | OH
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Zip | 43205-1505
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Country | US
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Telephone | 614-251-0103
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Fax | 614-251-1177
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Provider Business Mailing Address
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Address Line | 1515 INDIANOLA AVE
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City | COLUMBUS
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State | OH
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Zip | 43201-2118
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Country | US
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Telephone | 614-294-2661
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Fax | 614-294-3247
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Authorized Official
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Title or Position | CEO
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Name | MR. DUANE CASARES
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Credential | LISW-S
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Telephone | 614-294-2661
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number | 0251
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 0251
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number | 25149
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License Number State | OH
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