Clark County
NPI #1174796684 in Springfield, Ohio
Provider Information
- NPI Number
- 1174796684
- Entity Type
- Organization
- Organization Name
- Clark County
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Apr 4, 2008
- Last Updated
- Apr 4, 2008
Practice Location
- Address
- 2527 KENTON ST
- City
- Springfield
- State
- Ohio
- ZIP Code
- 45505-3352
- Phone
- (937) 328-2675
Authorized Official
- Name
- MR. RAVI R SHANKAR
- Title
- COMPTROLLER
- Phone
- (937) 328-4626
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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