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GRACEHAVEN INC NPI 1003480542


NPI Information

NPI: 1003480542
Provider Name: GRACEHAVEN INC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
5000 ARLINGTON CENTRE BLVD STE 2277B
COLUMBUS, OH
ZIP 43220
Phone: (614) 302-9515
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GRACEHAVEN INC is a mental health (including community mental health center) clinic center in Columbus, OH. GRACEHAVEN INC NPI is 1003480542. The provider is registered as an organization entity type.

The provider's business location address is:

5000 ARLINGTON CENTRE BLVD STE 2277B
COLUMBUS, OH
ZIP 43220-084
Phone: (614) 302-9515

The provider's authorized official is Paul Fuller .
The authorized official title is Interim Director and has the following contact phone number (614) 302-9515.

The enumeration date for this NPI number is 5/19/2021 and was last updated on 9/9/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessNo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.