Organization
MAUMEE VALLEY GUIDANCE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE PLANSON (PRESIDENT/CEO)
(419) 782-8856
Entity
Organization
Contact information
Practice address
211 BIEDE AVE, DEFIANCE, OH 43512-2408
(419) 782-8856
Mailing address
211 BIEDE AVE, DEFIANCE, OH 43512
(419) 782-8856
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0200884
—
OH
Enumeration date
11/08/2013
Last updated
11/08/2013
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