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NPI Code Detail

MEDICARE: CHILDREN HAVE OPTIONS IN CARING ENVIRONMENTS

MEDICARE: CHILDREN HAVE OPTIONS IN CARING ENVIRONMENTS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency0664OH

General Provider Information

NPI Number : 1861798662
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHILDREN HAVE OPTIONS IN CARING ENVIRONMENTS
Provider Business Mailing Address
First Line : 1785 BIG HILL RD
Second Line :
City : DAYTON
State : OH
Zip : 45439-2219
Country : US
Telephone Number : 937-264-0084
Fax Number : 937-264-0095
Provider Business Practice Location Address
First Line : 1785 BIG HILL RD
Second Line :
City : DAYTON
State : OH
Zip : 45439-2219
Country : US
Telephone Number : 937-264-0084
Fax Number : 937-264-0095
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MRS. SHELLIE KAY STOLFO
Credential : LISW-S
Telephone Number : 937-264-0084
Provider Enumeration Date : 01/27/2011
Last Update Date : 01/27/2011

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1891200390 — MS. BRITTANY MARIE COWART LSW
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Directions to “CHILDREN HAVE OPTIONS IN CARING ENVIRONMENTS ” Practice Location

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