OrganizationActive
Ohio Group Home of Middletown LLC
NPI 1669129219 · Emotionally Disturbed Childrens' Residential Treatment Facility · Middletown, OH
Provider details
- NPI number
- 1669129219
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- David Laurderdale, Manager(845) 205-6813
Specialties & taxonomies
Residential Treatment Facilities
Practice location
3100 S Main St
Middletown, OH 45044-7421
Phone: (845) 205-6813
Approximate (ZIP-level) locationGet directions
Mailing address
1 Executive Blvd Ste 203
Suffern, NY 10901-4157
Registry dates
- Enumerated
- 2022-03-03
- Last updated
- 2022-03-03
- Certified
- 2022-03-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.