OrganizationActive
Champaign Residential Services, Inc.
NPI 1295973824 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Urbana, OH
Provider details
- NPI number
- 1295973824
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Parent organization
- Champaign Residential Services, Inc.
- Organization subpart
- Yes
- Authorized official
- Than Johnson, Chief Executive Officer(937) 653-1320
Specialties & taxonomies
Residential Treatment Facilities
Practice location
334 Scioto Street
Urbana, OH 43078
Phone: (937) 653-1320
Fax: (937) 653-1321
Approximate (ZIP-level) locationGet directions
Mailing address
P.o. Box 29
Urbana, OH 43078-0029
Other names (DBA / former)
- Other name
- Scioto Street
Registry dates
- Enumerated
- 2009-02-04
- Last updated
- 2009-02-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.