Organization
GRACEHAVEN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL FULLER (INTERIM DIRECTOR)
(614) 302-9515
Entity
Organization
Contact information
Practice address
5000 ARLINGTON CENTRE BLVD STE 2277B, COLUMBUS, OH 43220-3084
(614) 302-9515
Mailing address
5000 ARLINGTON CENTRE BLVD STE 2277B, COLUMBUS, OH 43220-3084
(614) 302-9515
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
05/19/2021
Last updated
09/09/2021
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