Initial Independence Inc. of Ohio

NPI #1851631295 in O Fallon, Missouri

Provider Information

NPI Number
1851631295
Entity Type
Organization
Organization Name
Initial Independence Inc. of Ohio
Primary Specialty
Day Training, Developmentally Disabled Services
Enumeration Date
Feb 21, 2013
Last Updated
Feb 21, 2013

Practice Location

Address
1432 CROOKED STICK DR
ZIP Code
63366-5556
Phone
(931) 434-3358

Authorized Official

Name
JOHN MCCOMBS, MENTAL HEALTH PROF.
Title
CLO
Phone
(931) 434-3358

Specialties & Taxonomy Codes

Specialty
Day Training, Developmentally Disabled Services

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