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Organization

SELF-ESTEAM

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SADORA MONTGOMERY (DIRECTOR)
(419) 377-5693
Entity
Organization

Contact information

Practice address
305 WENZ RD, TOLEDO, OH 43615-6244
(419) 377-5693
Mailing address
4285 KEYGATE DR APT 306, TOLEDO, OH 43614-4890
(419) 377-5693

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
05/21/2026
Last updated
05/21/2026
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If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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