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Clark County
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Springfield, Ohio
NPI 1710151097

Clark County is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Springfield, OH. Clark County practices in Springfield, OH. The NPI Number for Clark County is 1710151097 and holds a License No. 0559613 (Ohio).

The current practice location address for Clark County is 2527 Kenton St, Springfield, OH and can be reached out via phone at 937-328-2675 and via fax at 937-328-4626.

Location: 2527 Kenton St, Springfield, OH, 45505-3352
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710151097
Provider Name
Clark County
Credential
Provider Entity Type
Organization
Address
2527 Kenton St, Springfield, OH, 45505-3352
Phone Number
937-328-2675
Fax Number
937-328-4626
Provider Enumeration Date
04/17/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0559613 05 OH
institution
Provider Business Practice Location Address Details
Address
2527 Kenton St
City
Springfield
State
Ohio
Zip
45505-3352
Phone Number
937-328-2675
Fax Number
937-328-4626
person
Provider Business Mailing Address Details
Address
2527 Kenton St
City
Springfield
State
Ohio
Zip
45505-3352
Phone Number
937-328-2675
Fax Number
937-328-4626
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
0559613 (Ohio)
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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