NPI 1518649995

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Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Dayton, OH

Practice location

Address: 1958 Burroughs Dr, Dayton, OH 45406-4418
Phone: (614) 290-0033

Authorised official

Name: Sa'Jae Everhart
Title: Owner
Phone: (614) 290-0033

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

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Registry record

NPI: 1518649995
Entity type: Organization
NPI issued: 3 Aug 2023
Record last updated: 3 Aug 2023

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.