Organization
ONE ME TO BE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN GREEN (CO)
(419) 297-2049
Entity
Organization
Contact information
Practice address
2714 NEBRASKA AVE, TOLEDO, OH 43607-3243
(419) 318-8847
Mailing address
PO BOX 12571, TOLEDO, OH 43606-0171
(419) 318-8847
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0443006
—
OH
Enumeration date
07/26/2021
Last updated
09/14/2021
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