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NPI Code Detail

MEDICARE: ABOVE & BEYOND CARE BEHAVIORAL HEALTH

MEDICARE: ABOVE & BEYOND CARE BEHAVIORAL HEALTH
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

General Provider Information

NPI Number : 1801393996
Entity Type Code : Organization
Provider Name (Legal Business Name) : ABOVE & BEYOND CARE BEHAVIORAL HEALTH
Provider Business Mailing Address
First Line : 701 JEFFERSON AVE STE 202
Second Line :
City : TOLEDO
State : OH
Zip : 43604-6957
Country : US
Telephone Number : 419-243-2273
Fax Number : 567-318-5448
Provider Business Practice Location Address
First Line : 701 JEFFERSON AVE STE 202
Second Line :
City : TOLEDO
State : OH
Zip : 43604-6957
Country : US
Telephone Number : 419-243-2273
Fax Number : 567-318-5448
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : MR. WILLIE KNIGHTEN JR.
Credential :
Telephone Number : 419-243-2273
Provider Enumeration Date : 04/06/2018
Last Update Date : 04/06/2018

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1376047712 — ABOVE & BEYOND CARE BEHAVIORAL HEALTH
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Practice Fax:

Directions to “ABOVE & BEYOND CARE BEHAVIORAL HEALTH ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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