NPI 1861631426
Champaign Residential Services, INC.
Practice location
- Address
- 400 Oakland Street, Urbana, OH 43078
- Phone
- (937) 653-1321
- Fax
- (937) 653-1321
- Mailing address
- P.O. 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
Registry record
- NPI
- 1861631426
- Entity type
- Organization
- NPI issued
- 5 Feb 2009
- Record last updated
- 5 Feb 2009
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.