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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