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NPI Code Detail

MEDICARE: FAMILY AND CHILD ABUSE PREVENTION CENTER

MEDICARE: FAMILY AND CHILD ABUSE PREVENTION CENTER
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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1962968859
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMILY AND CHILD ABUSE PREVENTION CENTER
Provider Business Mailing Address
First Line : 2460 CHERRY ST
Second Line :
City : TOLEDO
State : OH
Zip : 43608-2667
Country : US
Telephone Number : 419-244-3053
Fax Number : 419-244-1100
Provider Business Practice Location Address
First Line : 2460 CHERRY ST
Second Line :
City : TOLEDO
State : OH
Zip : 43608-2667
Country : US
Telephone Number : 419-244-3053
Fax Number : 419-244-1100
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : DR. CHRISTIE D JENKINS
Credential : LPCC S, NCC, PH.D.
Telephone Number : 419-244-3053
Provider Enumeration Date : 02/15/2019
Last Update Date : 11/04/2019

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Directions to “FAMILY AND CHILD ABUSE PREVENTION CENTER ” Practice Location

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