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Jordan Ray Weaver
Community/Behavioral Health Agency in Toledo, Ohio
NPI 1225594575

Jordan Ray Weaver is a Community/Behavioral Health Agency based in Maumee, OH. Jordan Ray Weaver practices in Toledo, OH. The NPI Number for Jordan Ray Weaver is 1225594575 and holds a License No. (Ohio).

The current practice location address for Jordan Ray Weaver is 5726 Southwyck Blvd Ste 200, Toledo, OH and can be reached out via phone at 419-865-5690 and via fax at 419-865-5691.

Location: 5726 Southwyck Blvd Ste 200, Toledo, OH, 43537-4529
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225594575
Provider Name
Jordan Ray Weaver
Credential
Provider Entity Type
Individual
Gender
Male
Address
5726 Southwyck Blvd Ste 200, Toledo, OH, 43537-4529
Phone Number
419-865-5690
Fax Number
419-865-5691
Provider Enumeration Date
02/12/2019
Last Update Date
03/10/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
168525 01 CDCA LICENSE
institution
Provider Business Practice Location Address Details
Address
5726 Southwyck Blvd Ste 200
City
Toledo
State
Ohio
Zip
43614-1510
Phone Number
419-865-5690
Fax Number
419-865-5691
person
Provider Business Mailing Address Details
Address
5726 Southwyck Blvd Ste 200
City
Toledo
State
Ohio
Zip
43614-1510
Phone Number
419-865-5690
Fax Number
419-865-5691
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
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 support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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