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1436 Vine St Cincinnati OH 45202-7018 | |
| (888) 751-3730 | |
| (502) 792-9184 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1436 Vine St, Cincinnati, Ohio |
| Authorized Official Name and Position | Latonya Niang (CEO) |
| Authorized Official Contact | 9103520733 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
101 N 7th St Louisville KY 40202-2924 Ph: (888) 751-3730 | 1436 Vine St Cincinnati OH 45202-7018 Ph: (888) 751-3730 |
| NPI Number | 1013525948 |
|---|---|
| Provider Enumeration Date | 07/16/2020 |
| Last Update Date | 09/27/2021 |
| Certification Date | 09/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013525948 | NPI | - | NPPES |
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