Organization
SOUTH OF MAIN FUTURES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EBONI LYNNE EILAND (DIRECTOR)
(614) 843-5242
Entity
Organization
Contact information
Practice address
973 E MAIN ST, COLUMBUS, OH 43205-2342
(614) 843-5242
Mailing address
3045 BRICE RD UNIT 572, BRICE, OH 43109-7529
(614) 843-5242
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
07/30/2025
Last updated
09/29/2025
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