Organization
FRUITFUL TREES
Active
Other names
Coach O Legacy
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CHRISTIAN OWENS (OWENER)
(614) 783-1435
Entity
Organization
Contact information
Practice address
81 PRICE RD, GAHANNA, OH 43230-3303
(614) 783-1435
Mailing address
2847 KEANNEN ST, BLACKLICK, OH 43004-6027
(614) 783-1435
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
05/22/2025
Last updated
05/29/2025
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