NPI 1033264619

Champaign Residential Services, INC.

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Urbana, OH

Practice location

Address: 1150 Scioto St Suite 100, Urbana, OH 43078-2289
Phone: (937) 653-1320
Fax: (937) 653-1321
Mailing address: PO Box 29, Urbana, OH 43078-0029

Authorised official

Name: Than Johnson
Title: Chief Executive Officer
Phone: (937) 653-1320

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Ohio →

Registry record

NPI: 1033264619
Entity type: Organization
NPI issued: 24 Jan 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.