Healthcare Provider Details

I. General information

NPI: 1881509719
Provider Name (Legal Business Name): DEVELOPING BUTTERFLIES BIG SISTER PROGRAM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

618 FIVE OAKS AVE
DAYTON OH
45406-5215
US

IV. Provider business mailing address

4650 WAYMIRE AVE
DAYTON OH
45406-2444
US

V. Phone/Fax

Practice location:
  • Phone: 937-985-1252
  • Fax:
Mailing address:
  • Phone: 937-931-1796
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State

VIII. Authorized Official

Name: GENA MCDONALD
Title or Position: FOUNDER/ EXECUTIVE DIRECTOR
Credential: MCDONALD
Phone: 937-931-1796