Organization
MARYHAVEN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN HOLT (CEO)
(614) 445-8191
Entity
Organization
Contact information
Practice address
88 N SANDUSKY ST, DELAWARE, OH 43015-1756
(740) 203-3800
Mailing address
88 N SANDUSKY ST, DELAWARE, OH 43015-1756
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
416832
OH
Other
Enumeration date
01/03/2018
Last updated
01/03/2018
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