Provider Demographics
NPI:1245277755
Name:SANDUSKY COUNTY TASC
Entity type:Organization
Organization Name:SANDUSKY COUNTY TASC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TORI
Authorized Official - Middle Name:
Authorized Official - Last Name:BOYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-334-8376
Mailing Address - Street 1:206 N CLOVER ST
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:OH
Mailing Address - Zip Code:43420-2407
Mailing Address - Country:US
Mailing Address - Phone:419-334-4644
Mailing Address - Fax:419-334-4356
Practice Address - Street 1:206 N CLOVER ST
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:OH
Practice Address - Zip Code:43420-2407
Practice Address - Country:US
Practice Address - Phone:419-334-4644
Practice Address - Fax:419-334-4356
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-01
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty