| Gracehaven Inc | |
|
5000 Arlington Centre Blvd Ste 2277b Columbus OH 43220-3084 | |
| (614) 302-9515 | |
| Not Available |
| Full Name | Gracehaven Inc |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 5000 Arlington Centre Blvd Ste 2277b, Columbus, Ohio |
| Authorized Official Name and Position | Paul Fuller (INTERIM DIRECTOR) |
| Authorized Official Contact | 6143029515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gracehaven Inc 5000 Arlington Centre Blvd Ste 2277b Columbus OH 43220-3084 Ph: (614) 302-9515 | Gracehaven Inc 5000 Arlington Centre Blvd Ste 2277b Columbus OH 43220-3084 Ph: (614) 302-9515 |
| NPI Number | 1538733076 |
|---|---|
| Provider Enumeration Date | 05/19/2021 |
| Last Update Date | 09/09/2021 |
| Certification Date | 09/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538733076 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Primary |
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