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Organization

A UNIQUE IMPACT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHONDALYNN DENISE PRICE-DONELSON (BILLER)
(419) 409-5226
Entity
Organization

Contact information

Practice address
610 ADAMS ST, TOLEDO, OH 43604-2714
(419) 270-7901
(419) 297-0391
Mailing address
610 ADAMS ST, TOLEDO, OH 43604-2714
(419) 270-7901

Taxonomy

Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary

Other

Enumeration date
06/11/2024
Last updated
06/11/2024
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