Organization
EDEN BEHAVIORAL HEALTH RESIDENTIAL TREATMENT CENTER
Active
Parent organization
EDEN COUNSELING CENTER LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
EDEN COUNSELING CENTER LLC
Authorized official
WILLIAM EARL JENNINGS (CEO)
(614) 398-3470
Entity
Organization
Contact information
Practice address
5460 CLEVELAND AVE, COLUMBUS, OH 43231-4005
(614) 398-3470
Mailing address
5460 CLEVELAND AVE, COLUMBUS, OH 43231-4005
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
11/29/2017
Last updated
01/23/2018
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