Organization
DDC CLINIC FOR SPECIAL NEEDS CHILDREN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATTI GALLAGHER (OPERATIONS DIRECTOR)
(440) 632-1668
Entity
Organization
Contact information
Practice address
14567 MADISON RD, MIDDLEFIELD, OH 44062-9499
(440) 632-1668
(440) 632-1697
Mailing address
14567 MADISON RD, MIDDLEFIELD, OH 44062-9499
(440) 632-1668
(440) 632-1697
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
81033
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2323980
—
OH
Enumeration date
07/08/2006
Last updated
09/30/2021
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