Organization
JAMES C CALDWELL COMMUNITY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES M. CALDWELL (PRESIDENT/CEO)
(419) 242-5000
Entity
Organization
Contact information
Practice address
3201 STICKNEY AVE, TOLEDO, OH 43608-2016
(419) 729-4654
(419) 729-4004
Mailing address
3201 STICKNEY AVE, TOLEDO, OH 43608-2016
(419) 729-4654
(419) 729-4004
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
261QM0801X
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
501211
LICENSE NUMBER
OH
Enumeration date
11/19/2009
Last updated
11/19/2009
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