Organization
PREBLE COUNTY BOARD OF MRDD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN W GREEN (SUPERINTENDENT)
(937) 404-6213
Entity
Organization
Contact information
Practice address
200 EATON LEWISBURG RD STE 201, EATON, OH 45320-1192
(937) 404-6213
(937) 332-1492
Mailing address
200 EATON LEWISBURG RD STE 201, EATON, OH 45320-1192
(937) 404-6213
(937) 332-1492
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
0773104
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0773104
—
OH
Enumeration date
03/21/2007
Last updated
05/09/2024
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