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Organization
FAMILY GUIDANCE CENTERS OF OHIO, INC.
Active
Organization
FAMILY GUIDANCE CENTERS OF OHIO, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY IDE (MANAGED CARE SPECIALIST)
(224) 659-7030
Entity
Organization
Contact information
Practice address
4354 MONROE ST, TOLEDO, OH 43606-1959
(419) 442-7145
(419) 389-0306
Mailing address
2618 PATRIOT BLVD, GLENVIEW, IL 60026-8024
(224) 659-7030
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM2800X
Methadone Clinic
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-7760
OHIO MENTAL HEALTH & ADDICTION SERVICES
OH
01
—
0267000018
STATE OF OHIO BOARD OF PHARMACY
OH
01
—
4154785
STATE OF OHIO CERTIFICATION SECRETARY OF STATE
OH
Enumeration date
08/08/2019
Last updated
12/13/2019
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