| Gracehaven Inc | |
|
5000 Arlington Centre Blvd # 9b Columbus OH 43220-3075 | |
| (614) 665-0665 | |
| Not Available |
| Full Name | Gracehaven Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 5000 Arlington Centre Blvd # 9b, Columbus, Ohio |
| Authorized Official Name and Position | Jennifer Taber (PROGRAM DIRECTOR) |
| Authorized Official Contact | 6146650665 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gracehaven Inc 5000 Arlington Centre Blvd # 9b Columbus OH 43220-3075 Ph: (614) 665-0665 | Gracehaven Inc 5000 Arlington Centre Blvd # 9b Columbus OH 43220-3075 Ph: (614) 665-0665 |
| NPI Number | 1003480542 |
|---|---|
| Provider Enumeration Date | 05/19/2021 |
| Last Update Date | 11/29/2023 |
| Certification Date | 11/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003480542 | NPI | - | NPPES |
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