# UNITED REHABILITATION SERVICES OF GREATER DAYTON

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** UNITED REHABILITATION SERVICES OF GREATER DAYTON
- **Other names:** United Rehabilitation Services
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1518478387
- **Legal business name:** UNITED REHABILITATION SERVICES OF GREATER DAYTON
- **Authorized official:** MR. DENNIS GENE GRANT (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (937) 233-1230

## Contact information

- **Practice address:** 4710 OLD TROY PIKE, DAYTON, OH 45424-5740
- **Practice address phone:** (937) 233-1230
- **Practice address fax:** (937) 236-8930
- **Mailing address:** 4710 OLD TROY PIKE, DAYTON, OH 45424-5740
- **Mailing address phone:** (937) 233-1230
- **Mailing address fax:** (937) 236-8930

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | E.1200685 | OH | Yes |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | — |
| 171M00000X | Case Manager/Care Coordinator | — | — | — |

## Other

- **Enumeration date:** 10/19/2017
- **Last updated:** 10/19/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 01-7591 | OHIO MENTAL HEALTH CERTIFICATION | OH |