Organization
GODSPACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DORRIKA SIMMONS (PRESIDENT)
(614) 622-2706
Entity
Organization
Contact information
Practice address
77 BELLE ST, COLUMBUS, OH 43215
(614) 622-2706
Mailing address
3850 E LIVINGSTON AVE, UNIT 27051, COLUMBUS, OH 43227
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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