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Organization
LIMA-URBAN MINORITY ALCOHOLISM AND DRUG ABUSE OUTREACH PROGRAM., INC
Active
Organization
LIMA-URBAN MINORITY ALCOHOLISM AND DRUG ABUSE OUTREACH PROGRAM., INC
Active
Other names
lima umadaop
Organization subpart
No
Provider details
NPI number
Authorized official
MYRTLE BLANCHE BOYKIN-LIGHTON CCDC1, OPSII, BA (CHIEF EXECUTIVE OFFICER)
(419) 222-4474
Entity
Organization
Contact information
Practice address
311 E MARKET ST FL 3, LIMA, OH 45801-4535
(419) 222-4474
(419) 222-7044
Mailing address
311 E MARKET ST FL 3, LIMA, OH 45801-4535
(419) 222-4474
(419) 222-7044
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2627661
—
OH
Enumeration date
10/03/2019
Last updated
11/15/2019
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