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General NPI Number Information
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NPI Number | 1972568996
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Entity Type | Organization
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Legal Business Name | COURT DIAGNOSTIC & TREATMENT CENTER
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Dates
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Enumeration Date | 04/20/2006
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Last Update Date | 09/12/2024
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Provider Practice Location Address
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Address Line | 1946 N. 13TH STREET, STE 230
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City | TOLEDO
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State | OH
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Zip | 43604
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Country | US
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Telephone | 419-244-8624
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Fax | 419-244-9213
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Provider Business Mailing Address
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Address Line | 1946 N. 13TH STREET, STE 230
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City | TOLEDO
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State | OH
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Zip | 43604
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Country | US
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Telephone | 419-244-8624
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Fax | 419-244-9213
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. RENEE JEAN PALACIOS
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Credential | M.A.
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Telephone | 419-244-8624
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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