Provider Demographics
NPI:1144893306
Name:ASIAN AMERICAN COMMUNITY SERVICES
Entity type:Organization
Organization Name:ASIAN AMERICAN COMMUNITY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF FAMILY SUPPORT PROGRAMS
Authorized Official - Prefix:
Authorized Official - First Name:ELYSE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCONNELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-220-4023
Mailing Address - Street 1:4700 REED RD STE B
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43220-3081
Mailing Address - Country:US
Mailing Address - Phone:614-220-4023
Mailing Address - Fax:614-220-4024
Practice Address - Street 1:4700 REED RD STE B
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43220-3081
Practice Address - Country:US
Practice Address - Phone:614-220-4023
Practice Address - Fax:614-220-4024
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-23
Last Update Date:2021-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty