Individual provider · Type 1 NPI

Jordan Ray Weaver

Community/Behavioral Health Agency · Toledo, OH

NPI number 1225594575 Active

Practice location

5726 Southwyck Blvd Ste 200
Toledo, OH 43614-1510

Fax (419) 865-5691

Mailing address

318 Wrexham Ln Apt 4
Maumee, OH 43537-4529

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1225594575

Jordan Ray Weaver's National Provider Identifier is 1225594575, issued on Feb 12, 2019. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Toledo, OH. The record was last updated on Feb 12, 2019.