Provider Demographics
NPI:1609124288
Name:THE MORROW GROUP L.L.C.
Entity Type:Organization
Organization Name:THE MORROW GROUP L.L.C.
Other - Org Name:THE MORROW GROUP FROM FEAR TO FAITH EN-TRY PROGRAM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:C.E.O.
Authorized Official - Prefix:MR
Authorized Official - First Name:CLIFFORD
Authorized Official - Middle Name:
Authorized Official - Last Name:MORROW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-226-1736
Mailing Address - Street 1:1 ELIZABETH PLACE
Mailing Address - Street 2:SUITE 2000
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45417
Mailing Address - Country:US
Mailing Address - Phone:937-220-9328
Mailing Address - Fax:
Practice Address - Street 1:1 ELIZABETH PLACE
Practice Address - Street 2:SUITE 2000
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45417
Practice Address - Country:US
Practice Address - Phone:937-220-9328
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-29
Last Update Date:2012-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1961184324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH13209Medicaid