Organization
BREAKING THE LABELS ADULT SERVICE PROVIDER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA MCKINNEY (CEO)
(567) 890-2308
Entity
Organization
Contact information
Practice address
701 N MAIN ST, CELINA, OH 45822-1008
(567) 890-2308
(567) 890-2310
Mailing address
701 N MAIN ST, CELINA, OH 45822-1008
(567) 890-2308
(567) 890-2310
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0403960
—
OH
Enumeration date
11/12/2020
Last updated
11/12/2020
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