| Telos Foundation Inc | |
|
1875 N Ridge Rd E Suite K Lorain OH 44055-3371 | |
| (440) 277-1112 | |
| (440) 277-1109 |
| Full Name | Telos Foundation Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1875 N Ridge Rd E, Lorain, Ohio |
| Authorized Official Name and Position | William F. Vanek (PRESIDENT) |
| Authorized Official Contact | 4402771112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Telos Foundation Inc 1875 N Ridge Rd E Suite K Lorain OH 44055-3371 Ph: (440) 277-1112 | Telos Foundation Inc 1875 N Ridge Rd E Suite K Lorain OH 44055-3371 Ph: (440) 277-1112 |
| NPI Number | 1194956383 |
|---|---|
| Provider Enumeration Date | 08/05/2009 |
| Last Update Date | 09/02/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194956383 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I.0002803.SUPV (Ohio) | Primary |
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