Provider Demographics
NPI:1477914943
Name:SUN BEHAVIORAL COLUMBUS, LLC
Entity Type:Organization
Organization Name:SUN BEHAVIORAL COLUMBUS, LLC
Other - Org Name:SUN BEHAVIORAL COLUMBUS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:PAGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-747-1800
Mailing Address - Street 1:PO BOX 4394
Mailing Address - Street 2:
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08723-0016
Mailing Address - Country:US
Mailing Address - Phone:732-747-1800
Mailing Address - Fax:
Practice Address - Street 1:900 E DUBLIN GRANVILLE RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-2452
Practice Address - Country:US
Practice Address - Phone:732-747-1800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SUN BEHAVIORAL HEALTH, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-03-11
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital