Organization
GORDRELL ENTERPRISES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOMIKA DARNELL GORDON (CEO)
(614) 379-8787
Entity
Organization
Contact information
Practice address
2246 S HAMILTON RD STE 100, COLUMBUS, OH 43232-4317
(614) 946-5504
Mailing address
2246 S HAMILTON RD STE 100, COLUMBUS, OH 43232-4317
(614) 946-5504
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
03/31/2020
Last updated
09/15/2020
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