Healthcare Provider Details

I. General information

NPI: 1740244284
Provider Name (Legal Business Name): OESTERLEN SERVICES FOR YOUTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1918 MECHANICSBURG RD
SPRINGFIELD OH
45503-3147
US

IV. Provider business mailing address

1918 MECHANICSBURG RD
SPRINGFIELD OH
45503-3147
US

V. Phone/Fax

Practice location:
  • Phone: 937-399-6101
  • Fax: 937-399-6609
Mailing address:
  • Phone: 937-399-6101
  • Fax: 937-399-6609

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License Number05-1327
License Number StateOH

VIII. Authorized Official

Name: MR. DONALD L WARNER
Title or Position: EXECUTIVE DIRECTOR
Credential: ACSW., LISW., CSWM
Phone: 937-399-6101