Organization
MARYHAVEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NATALIE DEANN DALTON CDCA (COUNSELOR ASSISTANT)
(614) 445-8131
Entity
Organization
Contact information
Practice address
1791 ALUM CREEK DR, COLUMBUS, OH 43207-1708
(614) 445-8131
Mailing address
1791 ALUM CREEK DR, COLUMBUS, OH 43207-1708
(614) 445-8131
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
160921
OH
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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