Gentlebrook

NPI #1548514896 in West Lafayette, Ohio

Provider Information

NPI Number
1548514896
Entity Type
Organization
Organization Name
Gentlebrook
Primary Specialty
Intermediate Care Facility, Intellectual Disabilities
Enumeration Date
Nov 7, 2012
Last Updated
Nov 7, 2012

Practice Location

Address
21632 PICKWICK ST
Address 2
BOX 30
State
Ohio
ZIP Code
43845-9511
Phone
(740) 545-6366

Authorized Official

Name
MICHAEL DEAN SLEUTZ, LSW, QDDP
Title
CHIEF OPERATING OFFICER
Phone
(330) 877-7700

Specialties & Taxonomy Codes

Specialty
Intermediate Care Facility, Intellectual Disabilities

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