Organization
MAHONING COUNTY BOARD OF MENTAL RETARDATION AND DEVELOPMENTAL DISABILI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY DUCK MBA, MSW (SUPERINTENDENT)
(330) 797-2828
Entity
Organization
Contact information
Practice address
4791 WOODRIDGE DR, AUSTINTOWN, OH 44515-5115
(330) 797-2825
(330) 797-2843
Mailing address
4791 WOODRIDGE DR, AUSTINTOWN, OH 44515-5115
(330) 797-2825
(330) 797-2843
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0776110
—
OH
Enumeration date
03/23/2007
Last updated
04/13/2009
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