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Organization

OHIO DEPARTMENT OF REHABILITATION AND CORRECTION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GARY MOHR (DIRICTOR)
(614) 752-1637
Entity
Organization

Contact information

Practice address
5900 BIS RD SW, LANCASTER, OH 43130-9606
(740) 653-4324
Mailing address
5900 BIS RD SW, LANCASTER, OH 43130-9606

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
021254
OH
251S00000X
Community/Behavioral Health Agency

Other

Enumeration date
10/29/2014
Last updated
10/29/2014
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