Organization
CHOICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUTHER R JONES III LICDC-S (DEPUTY DIRECTOR)
(419) 450-5735
Entity
Organization
Contact information
Practice address
5726 SOUTHWYCK BLVD STE 200, TOLEDO, OH 43614-1510
(419) 865-5690
Mailing address
5726 SOUTHWYCK BLVD STE 200, TOLEDO, OH 43614-1510
(419) 865-5690
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
913137
OH
Other
Enumeration date
05/26/2015
Last updated
05/26/2015
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