Organization
LIVE UP BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD E FOX (CEO)
(567) 224-0708
Entity
Organization
Contact information
Practice address
51B E MAIN STREET, NORWALK, OH 44857-1514
(567) 224-0708
Mailing address
51B E MAIN STREET, NORWALK, OH 44857
(567) 224-0708
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
385H00000X
Respite Care
—
—
385HR2050X
Respite Care Camp
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
405300000X
Prevention Professional
—
—
Other
Enumeration date
03/27/2024
Last updated
11/06/2024
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