Tresea Lynn Green
Tresea Lynn Green is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Dayton, Ohio. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
300 Marlay RdDayton, OH 45405-1855
Phone: (937) 716-4201
Fax: (937) 528-7882
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Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X |
|---|
Record details
| NPI number | 1528656964 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | December 31, 2020 |
| Last updated in NPPES | December 31, 2020 |
| Certification date | December 29, 2020 |
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