| Catalyst For Change | |
|
5151 Monroe St Ste 200 Toledo OH 43623-3466 | |
| (567) 455-1401 | |
| Not Available |
| Full Name | Catalyst For Change |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5151 Monroe St Ste 200, Toledo, Ohio |
| Authorized Official Name and Position | Kesha Jackson (SOCIAL WORKER/MH CLINICIAN) |
| Authorized Official Contact | 4198078185 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Catalyst For Change 6923 Heather Cove Pl Maumee OH 43537-1062 Ph: (419) 270-0521 | Catalyst For Change 5151 Monroe St Ste 200 Toledo OH 43623-3466 Ph: (567) 455-1401 |
| NPI Number | 1871180752 |
|---|---|
| Provider Enumeration Date | 12/28/2020 |
| Last Update Date | 04/12/2021 |
| Certification Date | 04/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871180752 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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