Organization · Type 2 NPI

Clark County

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Springfield, OH

NPI number 1083888366 Active

Practice location

2527 Kenton St
Springfield, OH 45505-3352

Call (937) 328-2675 Map

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000X0850155 (OH)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

8 other providers at this address

Other intellectual and/or developmental disabilities community based residential treatment facility providers in Springfield

See all in Springfield →

About NPI 1083888366

Clark County's National Provider Identifier is 1083888366, issued on Apr 17, 2008. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Springfield, OH. The record was last updated on Apr 17, 2008.