Organization
ENLIVEN RESOURCES, LLC
Active
Other names
Enliven Resource
Organization subpart
No
Provider details
NPI number
Authorized official
BROCK ALLAN BAUER LISW-S, SAP (OWNER)
(614) 940-4868
Entity
Organization
Contact information
Practice address
929 HARRISON AVE, 304, COLUMBUS, OH 43215-1346
(614) 940-4868
(614) 923-7525
Mailing address
929 HARRISON AVE, 304, COLUMBUS, OH 43215-1346
(614) 940-4868
(614) 923-7525
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.0700102-SUPV
OH
Other
Enumeration date
11/06/2011
Last updated
01/01/2013
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