Organization
GREAT HORIZONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DEVONA MARIE TOWNSEND QMHS (MANAGER)
(419) 464-5124
Entity
Organization
Contact information
Practice address
4120 THORNTON AVE, TOLEDO, OH 43612-1751
(419) 469-7790
Mailing address
4120 THORNTON AVE, TOLEDO, OH 43612-1751
(419) 469-7790
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
09/18/2024
Last updated
09/18/2024
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