Healthcare Provider Details

I. General information

NPI: 1376512731
Provider Name (Legal Business Name): CENTURY HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2006
Last Update Date: 04/29/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1918 N MAIN ST
FINDLAY OH
45840-3818
US

IV. Provider business mailing address

1918 N MAIN ST
FINDLAY OH
45840-3818
US

V. Phone/Fax

Practice location:
  • Phone: 419-425-5050
  • Fax: 419-420-8015
Mailing address:
  • Phone: 419-425-5050
  • Fax: 419-420-8015

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number1290
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number0108
License Number StateOH

VIII. Authorized Official

Name: CAROL A FREY
Title or Position: FINANCE DIRECTOR
Credential:
Phone: 419-425-5050