| Go Tyme Grynd Llc | |
|
3403 Monroe St Toledo OH 43606-4140 | |
| (419) 509-0509 | |
| Not Available |
| Full Name | Go Tyme Grynd Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3403 Monroe St, Toledo, Ohio |
| Authorized Official Name and Position | Deandre Gaston (OWNER) |
| Authorized Official Contact | 4197090509 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Go Tyme Grynd Llc 1836 Dorr St Toledo OH 43607-3701 Ph: (419) 702-0509 | Go Tyme Grynd Llc 3403 Monroe St Toledo OH 43606-4140 Ph: (419) 509-0509 |
| NPI Number | 1336910587 |
|---|---|
| Provider Enumeration Date | 01/15/2024 |
| Last Update Date | 01/15/2024 |
| Certification Date | 01/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336910587 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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