CHARLES LAKE
Case Manager/Care Coordinator
Active
Individual
NPI: 1396624714
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes | QMHS (OH) |
Frequently Asked Questions
NPI 1396624714 is the National Provider Identifier for CHARLES LAKE, a Case Manager/Care Coordinator provider located in Toledo, OH. This NPI was enumerated on August 29, 2025.
CHARLES LAKE practices at 2345 DORR ST, Toledo, OH 43607.
Quick Facts
- NPI
- 1396624714
- Type
- Individual
- Enumerated
- Aug 29, 2025
- Last Updated
- Aug 29, 2025
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