Provider Demographics
NPI:1255804894
Name:HELPING US GROW SOCIALLY
Entity type:Organization
Organization Name:HELPING US GROW SOCIALLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONYESHA
Authorized Official - Middle Name:
Authorized Official - Last Name:FAGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-705-9168
Mailing Address - Street 1:821 SOUTHBRIAR RD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43607-2561
Mailing Address - Country:US
Mailing Address - Phone:419-705-9168
Mailing Address - Fax:419-213-9332
Practice Address - Street 1:821 SOUTHBRIAR RD
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43607-2561
Practice Address - Country:US
Practice Address - Phone:419-705-9168
Practice Address - Fax:419-213-9332
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-07
Last Update Date:2019-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health