Organization
SORC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRYNA SANDERS (OWNER)
(419) 378-9212
Entity
Organization
Contact information
Practice address
3518 MONROE ST, TOLEDO, OH 43606-4114
(419) 378-9212
Mailing address
3518 MONROE ST, TOLEDO, OH 43606-4114
(419) 378-9212
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0101281
—
OH
Enumeration date
03/14/2018
Last updated
01/21/2020
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