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Organization

PUTNAM COUNTY BOARD OF MENTAL RETARDATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TERRY LEOPOLD (SUPERINTENDENT)
(419) 876-3944
Entity
Organization

Contact information

Practice address
7989 STATE ROUTE 108, OTTAWA, OH 45875-9678
(419) 876-3944
(419) 876-3945
Mailing address
7989 STATE ROUTE 108, OTTAWA, OH 45875-9678

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
0840022
OH
251C00000X
Developmentally Disabled Services Day Training Agency
0840022
OH

Other

Enumeration date
03/14/2007
Last updated
09/11/2025
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