Organization
LIMA-URBAN MINORITY ALCOHOLISM AND DRUG ABUSE OUTREACH PROGRAM., INC
Active
Other names
Lima UMADAOP
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MYRTLE B. BOYKIN-LIGHTON CCDC1, OPSII, BA (EXECUTIVE DIRECTOR)
(419) 222-4474
Entity
Organization
Contact information
Practice address
311 E MARKET ST FL 3, LIMA, OH 45801-4535
(419) 222-4474
(419) 222-7044
Mailing address
311 E MARKET ST FL 3, LIMA, OH 45801-4535
(419) 222-4474
(419) 222-7044
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
5004
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2627661
—
OH
Enumeration date
11/28/2006
Last updated
11/12/2019
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