Organization
GRACE BLOSSOMS BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA ROVAH (CLINICAL SOCIAL WORKER)
(614) 354-0464
Entity
Organization
Contact information
Practice address
7628 SLATE RIDGE BLVD, REYNOLDSBURG, OH 43068-8159
(614) 354-0464
Mailing address
7628 SLATE RIDGE BLVD, REYNOLDSBURG, OH 43068-8159
(614) 354-0464
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0345877
—
OH
Enumeration date
04/01/2019
Last updated
04/08/2022
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