Organization
MULTI-COUNTY JUVENILE DETENTION CENTER
Active
Parent organization
FAIRFIELD COUNTY
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAIRFIELD COUNTY
Authorized official
MR. EDGAR A PENROD (SUPERINTENDENT)
(740) 352-1525
Entity
Organization
Contact information
Practice address
923 LIBERTY DR, LANCASTER, OH 43130-8045
(740) 652-1525
(740) 625-1527
Mailing address
923 LIBERTY DR, LANCASTER, OH 43130-8045
(740) 652-1525
(740) 625-1527
Taxonomy
Speciality
Code
Description
License number
State
261QP2400X
Prison Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/15/2007
Last updated
06/16/2008
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