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
251S00000X
Community/Behavioral Health Agency
Primary
0600
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2877400
—
OH
Enumeration date
05/30/2012
Last updated
10/18/2025
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