NPI 1952592198
Clark County
Practice location
- Address
- 2527 Kenton St, Springfield, OH 45505-3352
- Phone
- (937) 328-2675
Authorised official
- Name
- Ravi Shankar
- Title
- Comptroller
- Phone
- (937) 328-2675
Registered specialties (9)
Case Management Agency
Primary
Developmentally Disabled Services Day Training Agency
Community/Behavioral Health Agency
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Registry record
- NPI
- 1952592198
- Entity type
- Organization
- NPI issued
- 5 Aug 2007
- Record last updated
- 5 Aug 2007
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.