| NPI | 1508308255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLETTA JAMES Director 513-635-2616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: OH 3948025) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 332900000X Non-Pharmacy Dispensing Site | |
| Enumeration Date | 2016-11-11 |
| Last Update Date | 2024-04-08 |