Organization
A RENEWED MIND
Active
Other names
A City of Compassion
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL A HAMANN (CREDENTIALING SPECIALIST)
(419) 330-5115
Entity
Organization
Contact information
Practice address
1832 ADAMS ST, TOLEDO, OH 43604
(419) 720-9586
(419) 720-9588
Mailing address
885 COMMERCE DR., PERRYSBURG, OH 43551-5268
(419) 330-1050
(419) 938-6820
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
12679
OH
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12679
ODADAS UPI NUMBER
OH
05
—
2963995
—
OH
Enumeration date
02/06/2008
Last updated
01/12/2017
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