Provider Demographics
NPI:1235407164
Name:ALZHEIMER'S DISEASE AND RELATED DISORDERS ASSOCIATION, INC., NORTHWEST
Entity Type:Organization
Organization Name:ALZHEIMER'S DISEASE AND RELATED DISORDERS ASSOCIATION, INC., NORTHWEST
Other - Org Name:ALZHEIMER'S ASSOCIATION, NORTHWEST OHIO CHAPTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SALLI
Authorized Official - Middle Name:
Authorized Official - Last Name:BOLLIN
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:419-537-1999
Mailing Address - Street 1:2500 N REYNOLDS RD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43615-0708
Mailing Address - Country:US
Mailing Address - Phone:419-537-1999
Mailing Address - Fax:419-536-5591
Practice Address - Street 1:2500 N REYNOLDS RD
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43615-0708
Practice Address - Country:US
Practice Address - Phone:419-537-1999
Practice Address - Fax:419-536-5591
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-06
Last Update Date:2011-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health