Revitalized Behavioral Healthcare, Llc | |
5577 Airport Hwy Ste 102 Toledo OH 43615-7364 | |
(419) 215-5831 | |
Not Available |
Full Name | Revitalized Behavioral Healthcare, Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 5577 Airport Hwy Ste 102, Toledo, Ohio |
Authorized Official Name and Position | Samantha S. Nance (OWNER) |
Authorized Official Contact | 4193465554 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Revitalized Behavioral Healthcare, Llc 5577 Airport Hwy Ste 102 Toledo OH 43615-7364 Ph: (419) 214-1770 | Revitalized Behavioral Healthcare, Llc 5577 Airport Hwy Ste 102 Toledo OH 43615-7364 Ph: (419) 215-5831 |
NPI Number | 1013543040 |
---|---|
Provider Enumeration Date | 03/22/2020 |
Last Update Date | 03/22/2020 |
Certification Date | 03/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013543040 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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