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Organization
SUNLIGHT VILLAGE INC
Active
Organization
SUNLIGHT VILLAGE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBBIE BRANDON R.N (PRESIDENT)
(937) 640-1679
Entity
Organization
Contact information
Practice address
3320 W. THIRD ST., DAYTON, OH 45417-1814
(937) 640-1679
Mailing address
3320 W. THIRD ST., DAYTON, OH 45417-1814
(937) 640-1679
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
Other
Enumeration date
02/14/2013
Last updated
11/10/2015
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