| A Renewed Mind | |
|
1832 Adams St Toledo OH 43604 | |
| (419) 720-9586 | |
| (419) 720-9588 |
| Full Name | A Renewed Mind |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1832 Adams St, Toledo, Ohio |
| Authorized Official Name and Position | Crystal A Hamann (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 4193305115 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Renewed Mind 885 Commerce Dr. Perrysburg OH 43551-5268 Ph: (419) 330-1050 | A Renewed Mind 1832 Adams St Toledo OH 43604 Ph: (419) 720-9586 |
| NPI Number | 1902084528 |
|---|---|
| Provider Enumeration Date | 02/06/2008 |
| Last Update Date | 01/12/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902084528 | NPI | - | NPPES |
| 12679 | Other | OH | ODADAS UPI NUMBER |
| 2963995 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 12679 (Ohio) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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