OrganizationActive
Clinic 5 LLC
NPI 1407491970 · Addiction Medicine (Preventive Medicine) Physician · Columbus, OH
Provider details
- NPI number
- 1407491970
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Preventive Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Dan Couri, Member(614) 598-9960
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1466 Northwest Blvd
Columbus, OH 43212-3063
Phone: (614) 598-9960
Approximate (ZIP-level) locationGet directions
Mailing address
1466 Northwest Blvd
Columbus, OH 43212-3063
Registry dates
- Enumerated
- 2019-11-08
- Last updated
- 2019-11-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.