CLARK COUNTY is a community based residential treatment facility, intellectual and/or developmental disabilities in Springfield, OH. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. CLARK COUNTY NPI is 1710151097. The provider is registered as an organization entity type.
The provider Is Doing Business As Clark County Board Of Mr/dd - Blue Icf/mr.
The provider's business location address is:
2527 KENTON ST
SPRINGFIELD, OH
ZIP 45505-352
Phone: (937) 328-2675
Fax: (937) 328-4626
The provider's authorized official is Ravi R Shankar .
The authorized official title is Comptroller and has the following contact phone number (937) 328-4626.
The enumeration date for this NPI number is 4/17/2008 and was last updated on 4/17/2008.