OrganizationActive
Clark County
NPI 1083888366 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Springfield, OH
Provider details
- NPI number
- 1083888366
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Ravi Shankar, Comptroller
- License
- 0850155 (OH)
Mailing address
2527 Kenton St
Springfield, OH 45505-3352
Registry dates
- Enumerated
- 2008-04-17
- Last updated
- 2008-04-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.