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THE MUSTARD SEED FOUNDATION NPI 1316365927


NPI Information

NPI: 1316365927
Provider Name: THE MUSTARD SEED FOUNDATION
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
4880 DENLINGER RD
TROTWOOD, OH
ZIP 45426
Phone: (937) 603-6643
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THE MUSTARD SEED FOUNDATION is a community based residential treatment facility mental illness in Trotwood, OH. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. THE MUSTARD SEED FOUNDATION NPI is 1316365927. The provider is registered as an organization entity type.

The provider's business location address is:

4880 DENLINGER RD
TROTWOOD, OH
ZIP 45426-012
Phone: (937) 603-6643

The provider's authorized official is Shondale Nicole Atkinson .
The authorized official title is Ceo and has the following contact phone number (937) 603-6643.

The enumeration date for this NPI number is 4/1/2014 and was last updated on 11/30/2016.


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
1347C00000XPrivate VehicleNo
2171M00000XCase Manager/Care CoordinatorNo
3174H00000XHealth EducatorNo
4320800000XCommunity Based Residential Treatment Facility, Mental IllnessYes

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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