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Organization
SOUTHEAST, INC
Active
Organization
SOUTHEAST, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES TONG (CFO)
(614) 225-0980
Entity
Organization
Contact information
Practice address
16 W LONG ST, COLUMBUS, OH 43215-2815
(614) 225-0980
(614) 225-0986
Mailing address
16 W LONG ST, COLUMBUS, OH 43215-2815
(614) 225-0980
(614) 225-0986
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
6723, 3040
OH
261Q00000X
Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
0300
OH
261QM0850X
Adult Mental Health Clinic/Center
0300
OH
320800000X
Mental Illness Community Based Residential Treatment Facility
0300
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2373177
—
OH
Enumeration date
03/27/2006
Last updated
10/19/2025
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