IndividualActive
Larra Wall
NPI 1417773276 · Emotionally Disturbed Childrens' Residential Treatment Facility · Toledo, OH
Provider details
- NPI number
- 1417773276
- Entity type
- Individual
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Residential Treatment Facilities
Practice location
1820 Berdan Ave
Toledo, OH 43613-4612
Phone: (419) 908-2320
Approximate (ZIP-level) locationGet directions
Mailing address
1820 Berdan Ave
Toledo, OH 43613-4612
Registry dates
- Enumerated
- 2024-11-26
- Last updated
- 2024-11-26
- Certified
- 2024-11-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.