Organization
MOUNDBUILDERS GUIDANCE CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA EDELBLUTE (CHIEF OPERATING OFFICER)
(740) 788-0244
Entity
Organization
Contact information
Practice address
65 MESSIMER DR, NEWARK, OH 43055-1874
(740) 522-8477
Mailing address
65 MESSIMER DR, NEWARK, OH 43055-1874
(740) 522-8477
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2485734
—
OH
Enumeration date
02/28/2008
Last updated
02/28/2008
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