Urban Minority Alcoholism and Drug Abuse Outreach Program of Lucas Cty

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

URBAN MINORITY ALCOHOLISM AND DRUG ABUSE OUTREACH PROGRAM OF LUCAS CTY

Practice address

2447 Nebraska Ave
Toledo, OH 43607-3531

Phone

(419) 255-4444

Fax

(419) 531-1596

NPI assigned

Aug 6, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Terrell Rhajon Scott

Title

Corporate Compliance

Phone

(419) 297-2553

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Umadaop Lucas County2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Urban Minority Alcoholism and Drug Abuse Outreach Program of Lucas Cty

  • Community/Behavioral Health Agency
  • Toledo, OH
  • NPI 1427107317
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596672000000",
    "number": "1831709641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33872 YORKRIDGE ST",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483311550",
            "telephone_number": "419-297-2553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2447 NEBRASKA AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436073531",
            "telephone_number": "419-255-4444",
            "fax_number": "419-531-1596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URBAN MINORITY ALCOHOLISM AND DRUG ABUSE OUTREACH PROGRAM OF LUCAS CTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-06",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "TERRELL",
        "authorized_official_middle_name": "RHAJON",
        "authorized_official_title_or_position": "CORPORATE COMPLIANCE",
        "authorized_official_telephone_number": "419-297-2553"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01-7673",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lorran Ashly Upchurch, LISW-S
• Adam Updegraff, DO
• Linda Lee Upp, M.D.
• Jennifer Upperco
• Urban Minority Alcoholism and Drug Abuse Outreach Program of Lucas Cty
• Michael Anthony Urbanek, D.D.S.
• Erin Nicole Urbanowicz
• Nathan Urbanowski
• Carly Urbanski
• Diana Urbanski, CPRS

• Community/Behavioral Health Agency in Toledo, OH
• Providers in Toledo, OH by specialty
• Community/Behavioral Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.