LARRA WALL

Residential Treatment Facility, Emotionally Disturbed Children

Active Individual
NPI: 1417773276

Practice Address

1820 BERDAN AVE
Toledo, OH 43613

Phone: (419) 908-2320

Specialties

Specialty Code Primary License
Residential Treatment Facility, Emotionally Disturbed Children 322D00000X Yes -

Frequently Asked Questions

NPI 1417773276 is the National Provider Identifier for LARRA WALL, a Residential Treatment Facility, Emotionally Disturbed Children provider located in Toledo, OH. This NPI was enumerated on November 26, 2024.
LARRA WALL practices at 1820 BERDAN AVE, Toledo, OH 43613.

Quick Facts

NPI
1417773276
Type
Individual
Enumerated
Nov 26, 2024
Last Updated
Nov 26, 2024

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