Provider Demographics
NPI:1174946776
Name:PROJECT C.U.R.E. PREVENTION SERVICES OF DAYTON
Entity type:Organization
Organization Name:PROJECT C.U.R.E. PREVENTION SERVICES OF DAYTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:VIRGIL
Authorized Official - Middle Name:
Authorized Official - Last Name:MCDANIEL
Authorized Official - Suffix:
Authorized Official - Credentials:PHR
Authorized Official - Phone:937-262-3500
Mailing Address - Street 1:1800 N JAMES H MCGEE BLVD
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45417-9526
Mailing Address - Country:US
Mailing Address - Phone:937-262-3500
Mailing Address - Fax:937-262-3523
Practice Address - Street 1:24 N JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45402-2018
Practice Address - Country:US
Practice Address - Phone:937-222-5683
Practice Address - Fax:937-222-4640
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PROJECT CURE, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-02-03
Last Update Date:2014-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH13369Medicaid