Provider Demographics
NPI:1780731448
Name:SYLVANIA COMMUNITY ACTION TEAM
Entity type:Organization
Organization Name:SYLVANIA COMMUNITY ACTION TEAM
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:J
Authorized Official - Last Name:CHANY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-824-8588
Mailing Address - Street 1:6850 MONROE ST
Mailing Address - Street 2:
Mailing Address - City:SYLVANIA
Mailing Address - State:OH
Mailing Address - Zip Code:43560-1922
Mailing Address - Country:US
Mailing Address - Phone:419-824-8588
Mailing Address - Fax:
Practice Address - Street 1:6850 MONROE ST
Practice Address - Street 2:
Practice Address - City:SYLVANIA
Practice Address - State:OH
Practice Address - Zip Code:43560-1922
Practice Address - Country:US
Practice Address - Phone:419-824-8588
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2926OtherMACSIS UPI