| Sorc, Llc | |
|
3518 Monroe St Toledo OH 43606-4114 | |
| (419) 378-9212 | |
| Not Available |
| Full Name | Sorc, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3518 Monroe St, Toledo, Ohio |
| Authorized Official Name and Position | Tryna Sanders (OWNER) |
| Authorized Official Contact | 4193789212 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sorc, Llc 3518 Monroe St Toledo OH 43606-4114 Ph: (419) 378-9212 | Sorc, Llc 3518 Monroe St Toledo OH 43606-4114 Ph: (419) 378-9212 |
| NPI Number | 1831692029 |
|---|---|
| Provider Enumeration Date | 03/14/2018 |
| Last Update Date | 01/21/2020 |
| Certification Date | 01/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831692029 | NPI | - | NPPES |
| 0101281 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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