Organization
PICKAWAY COUNTY BOARD OF MRDD
Active
Other names
Brooks-Yates Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEREMY JOYCE (MEDICAID MANAGER)
(740) 248-8579
Entity
Organization
Contact information
Practice address
200 E HIGH ST, CIRCLEVILLE, OH 43113-1724
(740) 248-8579
Mailing address
200 E HIGH ST, CIRCLEVILLE, OH 43113-1724
(740) 477-3353
(740) 477-6772
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0801990
—
OH
Enumeration date
03/01/2007
Last updated
09/18/2024
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