# CONCEPTS IN COMMUNITY LIVING, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548863202
- **Authorized official:** CHARLES ROBERT PHILLIPS (CEO)
- **Authorized official phone:** (740) 393-0055

## Contact information

- **Practice address:** 710 S MAIN ST, MOUNT VERNON, OH 43050-9395
- **Practice address phone:** (740) 393-0055
- **Practice address fax:** (740) 393-1139
- **Mailing address:** 710 S MAIN ST, MOUNT VERNON, OH 43050-9395
- **Mailing address phone:** (740) 393-0055
- **Mailing address fax:** (740) 393-1139

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320700000X | Physical Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 11/17/2020
- **Last updated:** 11/17/2020