CHAMPAIGN RESIDENTIAL SERVICES, INC. is an intermediate care facility mentally retarded in Mount Vernon, OH. The provider is (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. CHAMPAIGN RESIDENTIAL SERVICES, INC. NPI is 1790156529. The provider is registered as an organization entity type.
The provider Is Doing Business As Crsi.
The provider's business location address is:
200 S NORTON ST
MOUNT VERNON, OH
ZIP 43050-024
Phone: (937) 653-1320
Fax: (937) 653-1321
The provider's authorized official is Scott A Delong .
The authorized official title is President and has the following contact phone number (937) 653-1320.
The CLIA number assigned to this NPI record is 36D2106049 - intermediate care facility/individuals with intellectual disability with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 10/20/2015 and was last updated on 10/20/2015.