Addiction Wellness Center Oh LLC

NPI #1275235103 in Toledo, Ohio

Provider Information

NPI Number: 1275235103
Entity Type: Organization
Organization Name: Addiction Wellness Center Oh LLC
Primary Specialty: Clinic/Center - Adult Mental Health
Enumeration Date: Mar 22, 2023
Last Updated: Feb 28, 2025

Practice Location

Address: 2900 CARSKADDON AVE
City: Toledo
State: Ohio
ZIP Code: 43606-1601
Phone: (667) 367-8357

Authorized Official

Name: JESSIE COSTLEY
Title: CREDENTIALING SPECIALIST
Phone: (443) 839-6928

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine - Addiction Medicine — Addiction Medicine	207QA0401X
Nurse Practitioner	363L00000X
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X	Primary

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