Provider Demographics
NPI:1811513799
Name:BIG BROTHERS BIG SISTERS OF EAST CENTRAL OHIO INC
Entity type:Organization
Organization Name:BIG BROTHERS BIG SISTERS OF EAST CENTRAL OHIO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF DEVELOPMENT & ADMIN
Authorized Official - Prefix:MRS
Authorized Official - First Name:OLIVIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCALLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-339-6916
Mailing Address - Street 1:PO BOX 6099
Mailing Address - Street 2:
Mailing Address - City:NEW PHILADELPHIA
Mailing Address - State:OH
Mailing Address - Zip Code:44663-6099
Mailing Address - Country:US
Mailing Address - Phone:330-339-6916
Mailing Address - Fax:330-339-6752
Practice Address - Street 1:1260 MONROE ST NW STE 100D
Practice Address - Street 2:
Practice Address - City:NEW PHILADELPHIA
Practice Address - State:OH
Practice Address - Zip Code:44663-4160
Practice Address - Country:US
Practice Address - Phone:330-339-6916
Practice Address - Fax:330-339-6752
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-17
Last Update Date:2020-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management