Organization
SACRED GROUND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRIFFIN LONG LISW (EXECUTIVE DIRECTOR)
(330) 403-9124
Entity
Organization
Contact information
Practice address
5850 COUNTY HIGHWAY 77, MILLERSBURG, OH 44654
(330) 403-9075
Mailing address
PO BOX 321, MOUNT EATON, OH 44659-0321
(330) 403-9075
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
03/12/2026
Last updated
03/12/2026
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