Individual
BOBBIE NEVAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
230 S COLLETT ST, LIMA, OH 45805-3204
(567) 204-5278
Mailing address
759 W WAYNE ST, LIMA, OH 45801-3930
(567) 204-5278
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Enumeration date
03/05/2024
Last updated
03/05/2024
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