Provider Demographics
NPI:1689419228
Name:BENCHMARK BEHAVIORAL HEALTHCARE
Entity type:Organization
Organization Name:BENCHMARK BEHAVIORAL HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:PATTERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-327-7795
Mailing Address - Street 1:3829 WOODLEY RD STE B6
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43606-1174
Mailing Address - Country:US
Mailing Address - Phone:419-690-4544
Mailing Address - Fax:
Practice Address - Street 1:3829 WOODLEY RD STE B6
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-1174
Practice Address - Country:US
Practice Address - Phone:419-690-4544
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-26
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center