Organization
OHANAS HAVEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAILYNN WOOD (CEO)
(614) 625-1741
Entity
Organization
Contact information
Practice address
2323 LAKE CLUB DR STE 230, COLUMBUS, OH 43232-3101
(614) 604-6696
Mailing address
2323 LAKE CLUB DR STE 230, COLUMBUS, OH 43232-3101
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
163W00000X
Registered Nurse
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
Other
Enumeration date
03/26/2025
Last updated
03/26/2025
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