Organization
A RENEWED MIND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH ANDERSON (RESIDENTIAL INTERVENTION SPECIALIST)
(419) 720-9247
Entity
Organization
Contact information
Practice address
1946 N 13TH ST, TOLEDO, OH 43604-7258
(419) 720-9247
Mailing address
1946 N 13TH ST, TOLEDO, OH 43604-7258
(419) 720-9247
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2963990
—
OH
Enumeration date
03/26/2014
Last updated
03/26/2014
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