Organization
THE CENTER FOR INDIVIDUAL & FAMILY SERVICES, INC.
Active
Other names
Catalyst Life Services
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA MONTGOMERY (CEO)
(419) 774-6705
Entity
Organization
Contact information
Practice address
741 SCHOLL RD, MANSFIELD, OH 44907-1571
(419) 756-1717
(419) 774-5955
Mailing address
741 SCHOLL RD, MANSFIELD, OH 44907-1571
(419) 756-1717
(419) 774-5955
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
04158
OH
324500000X
Substance Abuse Rehabilitation Facility
13000
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04158
MACSIS
OH
05
—
2916830
—
OH
Enumeration date
05/17/2012
Last updated
04/12/2021
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