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Organization

MARYHAVEN, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ROSE A KNORWOOD BA (CHIEF INFORMATION OFFICER)
(614) 445-8131
Entity
Organization

Contact information

Practice address
1251 W BROAD ST, COLUMBUS, OH 43222-1359
(614) 274-1455
(614) 274-1433
Mailing address
1791 ALUM CREEK DR, COLUMBUS, OH 43207-1708
(614) 445-8131
(614) 545-0239

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
S1500460
OH

Other

Enumeration date
03/15/2017
Last updated
03/15/2017
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