Organization
BEN-EL CHILD AND FAMILY CENTER
Active
Other names
BenEl Child Development Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THAN JOHNSON (CEO)
(937) 653-1320
Entity
Organization
Contact information
Practice address
1150 SCIOTO ST., SUITE 200, URBANA, OH 43078
(937) 652-4555
(937) 652-4945
Mailing address
PO BOX 755, URBANA, OH 43078
(937) 652-4555
(937) 652-4945
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0074
OH
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10065
—
OH
Enumeration date
01/11/2006
Last updated
12/26/2008
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