SOUTHEAST, INC.

NPI # 

Practice Address:

924 E Main St

Columbus, OH, 43205-2338

Practice Phone:

614-360-0251

Email:

info@southeastinc.com

License Number:

H80CS22681-06-01

License State:

OH

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Federally Qualified Health Center (FQHC)

Taxonomy Code:

261QF0400X