Organization
CHANGING LIVES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER CONNELLY (OWNER)
(419) 277-6982
Entity
Organization
Contact information
Practice address
3648 VICTORY AVE, TOLEDO, OH 43607-2564
(419) 277-6982
Mailing address
5620 GLASGOW RD, SYLVANIA, OH 43560-1404
(419) 277-6982
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/05/2018
Last updated
04/11/2024
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