Healthcare Provider Details

I. General information

NPI: 1679464481
Provider Name (Legal Business Name): FRIENDS 2 FAMILY YOUTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2025
Last Update Date: 07/10/2025
Certification Date: 07/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5105 GLENDALE AVE STE K
TOLEDO OH
43614-1842
US

IV. Provider business mailing address

5105 GLENDALE AVE STE K
TOLEDO OH
43614-1842
US

V. Phone/Fax

Practice location:
  • Phone: 419-537-3338
  • Fax:
Mailing address:
  • Phone: 419-537-3338
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3245S0500X
TaxonomyChildren's Substance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: MS. BRITTANY S WATSON
Title or Position: OWNER
Credential:
Phone: 419-537-3338