NPI 1003480542
Gracehaven INC
Practice location
- Address
- 5000 Arlington Centre Blvd # 9b, Columbus, OH 43220-3075
- Phone
- (614) 665-0665
Authorised official
- Name
- Jennifer Taber
- Title
- Program Director
- Phone
- (614) 665-0665
Registered specialties (2)
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
Mental Illness Community Based Residential Treatment Facility
Registry record
- NPI
- 1003480542
- Entity type
- Organization
- NPI issued
- 19 May 2021
- Record last updated
- 29 Nov 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.