Organization
SOUTHEAST, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN BELL (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
300
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2084613
—
OH
Enumeration date
02/25/2009
Last updated
12/27/2019
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