Ravon L Adams

Individual provider Active NPI Community/Behavioral Health Agency · Toledo, OH

NPI 1841836731 · NPPES record last updated Nov 26, 2019

Key facts

NPI
1841836731
Entity type
Individual (NPI type 1)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Practice address
3450 W Central Ave # 366E
Toledo, OH 43606-1416
Phone
(419) 870-8770
NPI assigned
Nov 26, 2019
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Yes

Addresses

Primary practice location

3450 W Central Ave # 366E
Toledo, OH 43606-1416

Mailing address

3450 W Central Ave # 366E
Toledo, OH 43606-1416

Other providers in Toledo, OH

All providers in Toledo, OH · Community/Behavioral Health Agency in Ohio

Sources for this page

Verify at the official NPI Registry.