Provider Demographics
NPI:1326877739
Name:RIDGE OUTPATIENT SERVICES LLC
Entity type:Organization
Organization Name:RIDGE OUTPATIENT SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:CHERI
Authorized Official - Middle Name:G
Authorized Official - Last Name:HIGGINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-659-3632
Mailing Address - Street 1:25 WHITNEY DR STE 120
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45150-8400
Mailing Address - Country:US
Mailing Address - Phone:513-659-3632
Mailing Address - Fax:
Practice Address - Street 1:470 OLDE WORTHINGTON RD STE 325
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43082-9380
Practice Address - Country:US
Practice Address - Phone:513-753-9964
Practice Address - Fax:888-450-1488
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility