Organization
TOWARD INDEPENDENCE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT ARCHER (EXECUTIVE DIRECTOR)
(937) 376-3996
Entity
Organization
Contact information
Practice address
81 E MAIN ST, XENIA, OH 45385-3201
(937) 376-3996
(937) 376-2046
Mailing address
81 E MAIN ST, XENIA, OH 45385-3201
(937) 376-3996
(937) 376-2046
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
0849229
OH
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
0849229
OH
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
0849229
OH
Other
Enumeration date
05/07/2007
Last updated
08/19/2008
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