Organization
N.A.O.M.I.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARGARET TISDALE (EXECUTIVE DIRECTOR)
(419) 244-4824
Entity
Organization
Contact information
Practice address
2321 WARREN ST, TOLEDO, OH 43620-1320
(419) 244-4824
(419) 244-4825
Mailing address
PO BOX 9397, TOLEDO, OH 43697-9397
(419) 244-4824
(419) 244-4825
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
13003
OH
Other
Enumeration date
11/02/2011
Last updated
11/02/2011
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