person
Tresea Lynn Green
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Dayton, Ohio
NPI 1528656964

Tresea Lynn Green is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Dayton, OH. Tresea Lynn Green practices in Dayton, OH. The NPI Number for Tresea Lynn Green is 1528656964 and holds a License No. (Ohio).

The current practice location address for Tresea Lynn Green is 300 Marlay Rd, Dayton, OH and can be reached out via phone at 937-716-4201 and via fax at 937-528-7882. You can also correspond with Tresea Lynn Green through the mailing address at 300 MARLAY RD, DAYTON, OH - 45405-1855 (mailing address contact number: 937-716-4201).

Location: 300 Marlay Rd, Dayton, OH, 45405-1855
person
Provider Profile Details
NPI Number
1528656964
Provider Name
Tresea Lynn Green
Credential
Provider Entity Type
Individual
Gender
Female
Address
300 Marlay Rd, Dayton, OH, 45405-1855
Phone Number
937-716-4201
Fax Number
937-528-7882
Provider Enumeration Date
12/31/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
300 Marlay Rd
City
State
Zip
45405-1855
Phone Number
937-716-4201
Fax Number
937-528-7882
person
Provider Business Mailing Address Details
Address
300 Marlay Rd
City
State
Zip
45405-1855
Phone Number
937-716-4201
Fax Number
937-528-7882
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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