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Organization
UNITED REHABILITATION SERVICES OF GREATER DAYTON
Active
Organization
UNITED REHABILITATION SERVICES OF GREATER DAYTON
Active
Parent organization
UNITED REHABILITATION SERVICES OF GREATER DAYTON
Other names
United Rehabilitation Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNITED REHABILITATION SERVICES OF GREATER DAYTON
Authorized official
MR. DENNIS GENE GRANT (EXECUTIVE DIRECTOR)
(937) 233-1230
Entity
Organization
Contact information
Practice address
4710 OLD TROY PIKE, DAYTON, OH 45424-5740
(937) 233-1230
(937) 236-8930
Mailing address
4710 OLD TROY PIKE, DAYTON, OH 45424-5740
(937) 233-1230
(937) 236-8930
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E.1200685
OH
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
—
NULL
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-7591
OHIO MENTAL HEALTH CERTIFICATION
OH
Enumeration date
10/19/2017
Last updated
10/19/2017
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