| Organization Name: | GOODWILL EASTER SEALS MIAMI VALLEY |
| NPI Number: | 1154547883 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LEO DUGDALE (CFO) |
| Mailing Address: | 1511 Kuntz Rd Dayton |
| State: | OH US |
| Postal Code: | 454041232 |
| Phone Number: | 9374614800 |
| Fax Number: | 9374619578 |
| NPI Enumeration Date: | 04/18/2007 |
| NPI Last Update Date: | 05/05/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |