| Family And Child Abuse Prevention Center | |
|
2460 Cherry St Toledo OH 43608-2667 | |
| (419) 244-3053 | |
| (419) 244-1100 |
| Full Name | Family And Child Abuse Prevention Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 2460 Cherry St, Toledo, Ohio |
| Authorized Official Name and Position | Christie D Jenkins (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 4192443053 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family And Child Abuse Prevention Center 2460 Cherry St Toledo OH 43608-2667 Ph: (419) 244-3053 | Family And Child Abuse Prevention Center 2460 Cherry St Toledo OH 43608-2667 Ph: (419) 244-3053 |
| NPI Number | 1356989792 |
|---|---|
| Provider Enumeration Date | 12/17/2019 |
| Last Update Date | 12/17/2019 |
| Certification Date | 12/17/2019 |
| Medicare PECOS PAC ID | 3577993617 |
|---|---|
| Medicare Enrollment ID | O20200414000381 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356989792 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Ann F Trettin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285822783 PECOS PAC ID: 3476532953 Enrollment ID: I20040717000403 |
| Provider Name | Benjamin T Forrester |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386764702 PECOS PAC ID: 6800997354 Enrollment ID: I20070727000190 |
| Provider Name | Raman Marwaha |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861795601 PECOS PAC ID: 0648591040 Enrollment ID: I20150611000285 |
| Provider Name | Jillian P Webster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548743685 PECOS PAC ID: 0143650358 Enrollment ID: I20200430000193 |
| Provider Name | Diana P Kleman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346775541 PECOS PAC ID: 2365862828 Enrollment ID: I20201021003364 |
| Provider Name | Brandi R Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851809461 PECOS PAC ID: 2264862317 Enrollment ID: I20210628000058 |
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