Organization
URBAN MINORITY ALCOHOLISM AND DRUG ABUSE OUTREACH PROGRAM OF LUCAS CTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRELL RHAJON SCOTT (CORPORATE COMPLIANCE)
(419) 297-2553
Entity
Organization
Contact information
Practice address
2447 NEBRASKA AVE, TOLEDO, OH 43607-3531
(419) 255-4444
(419) 531-1596
Mailing address
33872 YORKRIDGE ST, FARMINGTON HILLS, MI 48331-1550
(419) 297-2553
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01-7673
—
OH
Enumeration date
08/06/2020
Last updated
08/06/2020
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