Provider Demographics
NPI:1609115815
Name:ADOPT AMERICA NETWORK
Entity Type:Organization
Organization Name:ADOPT AMERICA NETWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:SWAISGOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-726-5100
Mailing Address - Street 1:3100 W CENTRAL AVE STE 225
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43606-2960
Mailing Address - Country:US
Mailing Address - Phone:419-726-5100
Mailing Address - Fax:419-726-5089
Practice Address - Street 1:3100 W CENTRAL AVE STE 225
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-2960
Practice Address - Country:US
Practice Address - Phone:419-726-5100
Practice Address - Fax:419-726-5089
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-07
Last Update Date:2020-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE0500286101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty