Organization
WASHINGTON COUNTY BOARD OF MRDD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY ANN CHAMBERLAIN (SUPERINTENDENT)
(740) 373-3781
Entity
Organization
Contact information
Practice address
1701 COLEGATE DR, MARIETTA, OH 45750-1335
(740) 373-3781
(740) 373-1373
Mailing address
1701 COLEGATE DR, MARIETTA, OH 45750-1335
(740) 373-3781
(740) 373-1373
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2130545
—
OH
05
—
2354796
—
OH
05
—
2465032
—
OH
05
—
2568136
—
OH
05
—
8400019
—
OH
Enumeration date
03/12/2007
Last updated
08/22/2020
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