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RESOURCES OF ENDURING HOPE OUTREACH PROGRAM AND EDUCATION INC. NPI 1669915484


NPI Information

NPI: 1669915484
Provider Name: RESOURCES OF ENDURING HOPE OUTREACH PROGRAM AND EDUCATION, INC.

Doing Business As: GIRLS/GUYS OFF DRUGS PROGRAM

Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

CLIA Number: 36D2199016

Address:
1443 STEINER AVE
DAYTON, OH
ZIP 45417
Phone: (937) 245-4792
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RESOURCES OF ENDURING HOPE OUTREACH PROGRAM AND EDUCATION, INC. is an addiction (substance use disorder) counselor in Dayton, OH. RESOURCES OF ENDURING HOPE OUTREACH PROGRAM AND EDUCATION, INC. NPI is 1669915484. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Girls/guys Off Drugs Program.

The provider's business location address is:

1443 STEINER AVE
DAYTON, OH
ZIP 45417-813
Phone: (937) 245-4792

The provider's authorized official is Ronald Lynn Deblanc .
The authorized official title is Executive Director/therapist and has the following contact phone number (937) 245-4792.

The CLIA number assigned to this NPI record is 36D2199016 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/28/2016 and was last updated on 11/28/2016.


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
1101Y00000XCounselor150165OHIONo
2251B00000XCase ManagementOHIONo
3251S00000XCommunity/Behavioral HealthOHIONo
4101YA0400XCounselorAddiction (Substance Use Disorder)OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10098217MEDICAIDOHIO

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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