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Organization

THE MARSH FOUNDATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIARA S PEASE (CLINICAL BILLING SPECIALIST)
(419) 238-1695
Entity
Organization

Contact information

Practice address
1229 LINCOLN HWY, VAN WERT, OH 45891-1877
(419) 238-1695
(419) 238-1007
Mailing address
PO BOX 150, VAN WERT, OH 45891-0150
(419) 238-1695
(419) 238-1007

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
261QM0855X
Adolescent and Children Mental Health Clinic/Center
0393
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2846933
OH
Enumeration date
01/20/2006
Last updated
05/30/2024
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