Organization
SOUTHEAST, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANDY REBER (ADULT THERAPIST)
(614) 444-0800
Entity
Organization
Contact information
Practice address
1455 S 4TH ST, COLUMBUS, OH 43207-1011
(614) 444-0800
Mailing address
1455 S 4TH ST, COLUMBUS, OH 43207-1011
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LICDC.151123
OH
Other
Enumeration date
03/29/2017
Last updated
03/29/2017
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