Fruitful Trees
Community/Behavioral Health in Gahanna, OH. Organization (NPI-2).
NPI number1992597033
StatusActive
Last updated in NPPESMay 29, 2025
Details
- NPI
- 1992597033
- Entity type
- Organization (NPI-2)
- Legal business name
- Fruitful Trees
- Organization subpart
- No
- Enumeration date
- May 22, 2025
- Certification date
- May 29, 2025
- Last updated
- May 29, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – | |
| 251E00000X | Home Health | – | – |
Other names
- Coach O Legacy (Doing Business As)
Practice location
81 Price RdGahanna, OH 43230-3303
Phone 614-783-1435
Mailing address
2847 Keannen StBlacklick, OH 43004-6027
Phone 614-783-1435
Authorized official
Christian Owens
Owener
6147831435
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