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1616 E Wooster St Bowling Green OH 43402-3478 | |
| (419) 352-4624 | |
| (419) 354-1774 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1616 E Wooster St, Bowling Green, Ohio |
| Authorized Official Name and Position | James E. Jones (PRESIDENT & CEO) |
| Authorized Official Contact | 4192445511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
701 Jefferson Ave Suite 301 Toledo OH 43604 Ph: (419) 244-5511 | 1616 E Wooster St Bowling Green OH 43402-3478 Ph: (419) 352-4624 |
| NPI Number | 1669435186 |
|---|---|
| Provider Enumeration Date | 04/07/2006 |
| Last Update Date | 08/03/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669435186 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 0180 (Ohio) | Primary |
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