Organization
BACK TO BASICS YOUTH EDUCATION
Active
Other names
Back to Basics Youth Education
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE LINDSEY (DIRECTOR)
(937) 248-5360
Entity
Organization
Contact information
Practice address
120 W 2ND ST STE 611, DAYTON, OH 45402-1657
(937) 248-5360
Mailing address
1014 MERRYWOOD DR, ENGLEWOOD, OH 45322-2445
(937) 248-5360
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12234
—
OH
Enumeration date
10/24/2022
Last updated
01/26/2023
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