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Organization
EDEN COUNSELING CENTERS LLC
Active
Organization
EDEN COUNSELING CENTERS LLC
Active
Other names
Eden Counseling Centers LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EDITH WAUGH (CHAIR, BOARD OF DIRECTORS)
(614) 398-3470
Entity
Organization
Contact information
Practice address
360 S GRANT AVE, COLUMBUS, OH 43215-5537
(614) 398-3470
(614) 340-3083
Mailing address
360 S GRANT AVE, COLUMBUS, OH 43215-5537
(614) 398-3470
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
Primary
34010652
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0150666
—
OH
Enumeration date
05/17/2016
Last updated
03/18/2021
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