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BROWN COUNTY BOARD OF MENTAL RETARDATION AND DEVELOPMENTAL DISABILITIE NPI 1194852749


NPI Information

NPI: 1194852749
Provider Name: BROWN COUNTY BOARD OF MENTAL RETARDATION AND DEVELOPMENTAL DISABILITIE
Classification: Clinic/Center - 261QD1600X
Entity Type: Organization

Specialization: Developmental Disabilities

CLIA Number: 36D1002787

Address:
325 W STATE ST
BUILDING A, SUITE 2
GEORGETOWN, OH
ZIP 45121
Phone: (937) 378-4891
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BROWN COUNTY BOARD OF MENTAL RETARDATION AND DEVELOPMENTAL DISABILITIE is a developmental disabilities clinic center in Georgetown, OH. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). BROWN COUNTY BOARD OF MENTAL RETARDATION AND DEVELOPMENTAL DISABILITIE NPI is 1194852749. The provider is registered as an organization entity type.

The provider's business location address is:

325 W STATE ST
BUILDING A, SUITE 2
GEORGETOWN, OH
ZIP 45121-229
Phone: (937) 378-4891
Fax: (937) 378-3585

The provider's authorized official is Lena C. Bradford .
The authorized official title is Superintendent and has the following contact phone number (937) 378-4891.

The CLIA number assigned to this NPI record is 36D1002787 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/28/2007 and was last updated on 2/10/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QD1600XClinic/CenterDevelopmental DisabilitiesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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