Organization
A SAFE HOME AWAY FROM HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA HAMPTON (VICE PRESIDENT)
(513) 801-4390
Entity
Organization
Contact information
Practice address
4935 THORAIN CT, DAYTON, OH 45416-1137
(937) 559-7272
Mailing address
7165 BERRINGER CT, MAINEVILLE, OH 45039-9118
(513) 801-4390
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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