Organization
CAREGIVER GROVE BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHASS RICE (VICE PRESIDENT)
(419) 340-5137
Entity
Organization
Contact information
Practice address
3950 SUNFOREST CT STE 207, TOLEDO, OH 43623-4522
(419) 720-6811
(419) 754-2271
Mailing address
3950 SUNFOREST CT STE 207, TOLEDO, OH 43623-4522
(419) 720-6811
(419) 754-2271
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0223685
—
OH
Enumeration date
05/19/2017
Last updated
05/16/2024
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