Organization
GORDRELL ENTERPRISES LLC
Active
Other names
ASUR Counseling & Treatment Centers
Organization subpart
No
Provider details
NPI number
Authorized official
TOMIKA GORDON (CEO)
(614) 946-5504
Entity
Organization
Contact information
Practice address
2246 S HAMILTON RD STE 100, COLUMBUS, OH 43232-4317
(614) 946-5504
Mailing address
2246 S HAMILTON RD STE 100, COLUMBUS, OH 43232-4317
(614) 946-5504
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
—
2084P0802X
Addiction Psychiatry Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
04/13/2020
Last updated
09/18/2020
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