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| Type | Company | [sources] | |||
|---|---|---|---|---|---|
| Name | Impact Therapy, LLC | [sources] | |||
| Incorporation date | not available | [sources] | |||
| Jurisdiction | not available | [sources] | |||
| Country | United States | [sources] | |||
| Description | Provider ID: 0115549 · Provider ID: 0301404 | [sources] | |||
| NPI | 1851871677 · 1881025641 | [sources] | |||
| Registration number | not available | [sources] | |||
| Sector | 84-Ohio Department of Mental Health Provider · 95-OHMAS Certified/Licensed Treatment Program | [sources] | |||
| Address | 3450 W. Central, Suite 354, Toledo, OH 43606 | [sources] | |||
| Last change | Last processed | First seen | |||
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| Address | ||
|---|---|---|
| Full address | Country | |
| 3450 W. Central, Suite 354, Toledo, OH 43606 | United States | |