Organization
VITAL HEALTH LLC
Active
Parent organization
VITAL HEALTH LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
VITAL HEALTH LLC
Authorized official
NICOLE M SPELLIS-FREYRE CRNP (AUTHORIZED OFFICIAL)
(419) 740-3022
Entity
Organization
Contact information
Practice address
111 CLINTON ST, MAUMEE, OH 43537-2811
(419) 740-3022
(419) 740-3033
Mailing address
111 CLINTON ST, MAUMEE, OH 43537-2811
(419) 740-3022
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
01/27/2022
Last updated
09/29/2023
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