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Organization

ON-DECK ALLIANCE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSHUA CUNNINGHAM (EXECUTIVE DIRECTOR)
(419) 297-1026
Entity
Organization

Contact information

Practice address
5702 ANGOLA RD LOT 73, TOLEDO, OH 43615-6343
(567) 984-7391
Mailing address
5702 ANGOLA RD LOT 73, TOLEDO, OH 43615-6343
(567) 984-7391

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
251B00000X
Case Management Agency
251S00000X
Community/Behavioral Health Agency
251V00000X
Voluntary or Charitable Agency
251X00000X
Supports Brokerage Agency
Primary

Other

Enumeration date
10/30/2025
Last updated
10/30/2025
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