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NPI Code Detail

MEDICARE: A PLACE CALLED HOME YOUTH SERVICES, INC.

MEDICARE: A PLACE CALLED HOME YOUTH SERVICES, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency
2322D00000XEmotionally Disturbed Childrens' Residential Treatment Facility

General Provider Information

NPI Number : 1780356022
Entity Type Code : Organization
Provider Name (Legal Business Name) : A PLACE CALLED HOME YOUTH SERVICES, INC.
Provider Business Mailing Address
First Line : 3113 PARKWOOD AVE
Second Line :
City : TOLEDO
State : OH
Zip : 43610-1616
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3113 PARKWOOD AVE
Second Line :
City : TOLEDO
State : OH
Zip : 43610-1616
Country : US
Telephone Number : 567-316-5382
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : ASHLYNN WILLIAMS
Credential :
Telephone Number : 567-316-5382
Provider Enumeration Date : 10/05/2021
Last Update Date : 03/26/2024

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Directions to “A PLACE CALLED HOME YOUTH SERVICES, INC. ” Practice Location

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