Organization
FOUNDATIONS BEHAVIORAL HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE GABLE LISW (EXECUTIVE DIRECTOR)
(419) 584-1000
Entity
Organization
Contact information
Practice address
4761 STATE ROUTE 29, CELINA, OH 45822-8216
(419) 584-1000
(419) 584-1825
Mailing address
4761 STATE ROUTE 29, CELINA, OH 45822-8216
(419) 584-1000
(419) 584-1825
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
0200893
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0200893
—
OH
Enumeration date
03/14/2006
Last updated
12/14/2020
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