Provider Demographics
NPI:1417544438
Name:GREEN OPTIONS FOR AUTISM OF LUCAS COUNTY
Entity Type:Organization
Organization Name:GREEN OPTIONS FOR AUTISM OF LUCAS COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:SABIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-250-4010
Mailing Address - Street 1:1660 AMESBURY RD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43612-2007
Mailing Address - Country:US
Mailing Address - Phone:419-720-4350
Mailing Address - Fax:
Practice Address - Street 1:1660 AMESBURY RD
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43612-2007
Practice Address - Country:US
Practice Address - Phone:419-720-4350
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-23
Last Update Date:2020-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No347E00000XTransportation ServicesTransportation BrokerGroup - Single Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty