Organization
AS YOU ARE HOUSING FOR TEENS
Active
Other names
ASUR HOME HEALTH CARE CENTERS, ASUR healthcare and Treatment Centers
Organization subpart
No
Provider details
NPI number
Authorized official
TOMIKA NICOLE GORDON (CEO)
(614) 946-5504
Entity
Organization
Contact information
Practice address
5875 CHANTRY DR, COLUMBUS, OH 43232-4764
(614) 946-5504
Mailing address
2244 S HAMILTON RD STE 101C, COLUMBUS, OH 43232-4390
(614) 946-5504
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
253J00000X
Foster Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
02/12/2020
Last updated
08/13/2020
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