Organization
TOLLIVER BROTHER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIOLA TOLLIVER (OWNER)
(646) 204-8254
Entity
Organization
Contact information
Practice address
2815 ALBION ST, TOLEDO, OH 43610-1222
(646) 204-8254
Mailing address
4815 E STARFLOWER ST, TUCSON, AZ 85756-5159
(646) 204-8254
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/10/2017
Last updated
03/17/2018
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