Jaz Cicero Santana Boyce - Columbus, OH

Jaz Cicero Santana Boyce

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Columbus, Ohio

NPI 1083067896

Jaz Cicero Santana Boyce is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Columbus, OH. Jaz Cicero Santana Boyce practices in Columbus, OH. The NPI Number for Jaz Cicero Santana Boyce is 1083067896 and holds a License No. (Ohio).

The current practice location address for Jaz Cicero Santana Boyce is 3118 Houston Dr, Columbus, OH and can be reached out via phone at 614-407-6352. You can also correspond with Jaz Cicero Santana Boyce through the mailing address at 3118 HOUSTON DR, COLUMBUS, OH - 43207-3398 (mailing address contact number: 614-407-6352).

Location: 3118 Houston Dr, Columbus, OH, 43207-3398

NPI Number

1083067896

Provider Name

Jaz Cicero Santana Boyce

Credential

Provider Entity Type

Individual

Gender

Male

Address

3118 Houston Dr, Columbus, OH, 43207-3398

Phone Number

614-407-6352

Fax Number

Provider Enumeration Date

07/16/2016

Last Update Date

03/09/2024

Address

3118 Houston Dr

City

Columbus

State

Ohio

Zip

43207-3398

Phone Number

614-407-6352

Fax Number

Address

3118 Houston Dr

City

Columbus

State

Ohio

Zip

43207-3398

Phone Number

614-407-6352

Fax Number

Type

Residential Treatment Facilities

Classification

Residential Treatment Facility, Physical Disabilities

Speciality

Taxonomy

320700000X

License No.

()

Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.

Type

Residential Treatment Facilities

Classification

Community Based Residential Treatment Facility, Mental Illness

Speciality

Taxonomy

320800000X

License No.

()

Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Type

Residential Treatment Facilities

Classification

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Speciality

Taxonomy

320900000X

License No.

()

Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Type

Residential Treatment Facilities

Classification

Residential Treatment Facility, Emotionally Disturbed Children

Speciality

Taxonomy

322D00000X

License No.

()

Definition

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

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