Organization
BEACH HOUSE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELIQUE GLYDA (CREDENTIALING MANAGER)
(419) 380-0116
Entity
Organization
Contact information
Practice address
2283 ASHLAND AVE, TOLEDO, OH 43620-1205
(419) 244-2175
(419) 244-2253
Mailing address
2283 ASHLAND AVE, TOLEDO, OH 43620-1205
(419) 244-2175
(419) 244-2253
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/17/2020
Last updated
11/06/2024
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