Organization · Type 2 NPI

Champaign Residential Services, Inc.

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Urbana, OH

NPI number 1649418252 Active

Practice location

124 Hill Street
Urbana, OH 43078

Fax (937) 653-1321

Mailing address

P.o. Box 29
Urbana, OH 43078-0029

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XNone listed

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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About NPI 1649418252

Champaign Residential Services, Inc.'s National Provider Identifier is 1649418252, issued on Feb 4, 2009. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Urbana, OH. The record was last updated on Feb 4, 2009.