Provider Demographics
NPI:1851088751
Name:THE FRIEND AGENCY
Entity Type:Organization
Organization Name:THE FRIEND AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHWARCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-856-9372
Mailing Address - Street 1:2616 WHEELER AVE
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45406-1636
Mailing Address - Country:US
Mailing Address - Phone:937-856-9372
Mailing Address - Fax:
Practice Address - Street 1:4130 LINDEN AVE STE 330
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45432-3034
Practice Address - Country:US
Practice Address - Phone:937-641-1084
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-20
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty