Holt Street Miracle Center

NPI 1437418647 - Case Management - 251B00000X

NPI Details
NPI 1437418647
Enumeration Date 05/08/2012
Last Updated 05/08/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name WALTER WALTER
Position EXECUTIVE DIRECTOR
Phone (937) 222-7420
Fax
Practice Location
420 HOLT ST
DAYTON OH, 45402-6335, US
Phone (937) 222-7420
Fax
Business Location
420 HOLT ST
DAYTON OH, 45402-6335, US
Phone (937) 222-7420
Fax
Toxanomy
Taxonomy Code 251B00000X
License State Ohio
License Number 13086
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According to our database, Holt Street Miracle Center NPI is 1437418647, taxonomy code is 251B00000X and license number is 13086, license state is located at Ohio. Holt Street Miracle Center physically located at 420 Holt St, Dayton OH, 45402-6335. NPI Number 1033115704 has the healthcare provider type.

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1437418647 NPI number is provided on an as is basis without warranty of any kind. 1437418647 is maintained by the National Plan & Provider Enumeration System. The contents of Holt Street Miracle Center are for informational purposes only.