NPI 1487063699

The Village Network

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Mount Vernon, OH

Practice location

Address: 17606 Coshocton Rd, Mount Vernon, OH 43050-9218
Phone: (740) 397-0533
Fax: (740) 397-0350

Authorised official

Name: Randa Marie Harrah
Title: Clinical Therapist
Phone: (740) 397-0533

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence S1450673 (OH)

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Registry record

NPI: 1487063699
Entity type: Organization
NPI issued: 13 Aug 2014
Record last updated: 13 Aug 2014

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.