Organization
MARY ELIZABETH EDWARDS DBA WHITE PINE THERAPIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ELIZABETH EDWARDS (CEO)
(614) 364-6206
Entity
Organization
Contact information
Practice address
7037 PLUMB RD, GALENA, OH 43021-9443
(614) 364-6206
Mailing address
5355 AMBROSIA AVE, COLUMBUS, OH 43235-5556
(614) 364-6206
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2534298
—
OH
Enumeration date
06/16/2008
Last updated
06/16/2008
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