Gracehaven INC

NPI #1003480542 in Columbus, Ohio

Provider Information

NPI Number: 1003480542
Entity Type: Organization
Organization Name: Gracehaven INC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: May 19, 2021
Last Updated: Nov 29, 2023

Practice Location

Address: 5000 ARLINGTON CENTRE BLVD # 9B
City: Columbus
State: Ohio
ZIP Code: 43220-3075
Phone: (614) 665-0665

Authorized Official

Name: JENNIFER TABER
Title: PROGRAM DIRECTOR
Phone: (614) 665-0665

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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