Organization
CONCEPTS IN COMMUNITY LIVING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES ROBERT PHILLIPS (CEO)
(740) 393-0055
Entity
Organization
Contact information
Practice address
710 S MAIN ST, MOUNT VERNON, OH 43050-9395
(740) 393-0055
(740) 393-1139
Mailing address
710 S MAIN ST, MOUNT VERNON, OH 43050-9395
(740) 393-0055
(740) 393-1139
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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