Organization
BOYS TO MEN TRANSITIONAL HOME INC.
Active
Other names
Boys to Men Transitional Home Inc., Boys to Men Transitional Home Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE GRUBBS PIPPINS (CEO)
(937) 673-8951
Entity
Organization
Contact information
Practice address
117 ASHWOOD AVE, DAYTON, OH 45405-2643
(937) 673-8951
(937) 221-8003
Mailing address
117 ASHWOOD AVE, DAYTON, OH 45405-2643
(937) 673-8951
(937) 221-8003
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275019531
—
OH
Enumeration date
08/24/2020
Last updated
03/17/2026
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