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HOLT STREET MIRACLE CENTER NPI 1437418647


NPI Information

NPI: 1437418647
Provider Name: HOLT STREET MIRACLE CENTER
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
420 HOLT ST
DAYTON, OH
ZIP 45402
Phone: (937) 222-7420
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HOLT STREET MIRACLE CENTER is a community behavioral health in Dayton, OH. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. HOLT STREET MIRACLE CENTER NPI is 1437418647. The provider is registered as an organization entity type.

The provider's business location address is:

420 HOLT ST
DAYTON, OH
ZIP 45402-335
Phone: (937) 222-7420

The provider's authorized official is Walter Gilbert .
The authorized official title is Executive Director and has the following contact phone number (937) 222-7420.

The enumeration date for this NPI number is 5/8/2012 and was last updated on 5/8/2012.


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
1251B00000XCase Management13086OHIONo
2251V00000XVoluntary or Charitable13086OHIONo
3251S00000XCommunity/Behavioral Health13086OHIOYes

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: 11/14/2023

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