Organization
REVITALIZED BEHAVIORAL HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA NANCE (OWNER)
(419) 346-5554
Entity
Organization
Contact information
Practice address
5577 AIRPORT HWY STE 102, TOLEDO, OH 43615-7364
(419) 214-1770
Mailing address
313 JEFFERSON AVE, TOLEDO, OH 43604-1004
(419) 214-1770
(419) 214-0922
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/27/2020
Last updated
02/07/2026
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