Healthcare Provider Details

I. General information

NPI: 1861302184
Provider Name (Legal Business Name): ABBA JOURNEYS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

921 MORAN AVE
TOLEDO OH
43607-2739
US

IV. Provider business mailing address

921 MORAN AVE
TOLEDO OH
43607-2739
US

V. Phone/Fax

Practice location:
  • Phone: 419-297-7424
  • Fax:
Mailing address:
  • Phone: 419-297-7424
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: RICHARD VERDELL HOGAN
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 419-297-7424