| Gwom Uchem | |
|
2528 Lysle Ln Apt 2 Cincinnati OH 45212-1224 | |
| (513) 399-7092 | |
| Not Available |
| Full Name | Gwom Uchem |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2528 Lysle Ln Apt 2, Cincinnati, Ohio |
| Authorized Official Name and Position | Amara Emenari (OWNER) |
| Authorized Official Contact | 5133997092 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gwom Uchem 2528 Lysle Ln Apt 2 Cincinnati OH 45212-1224 Ph: (513) 399-7092 | Gwom Uchem 2528 Lysle Ln Apt 2 Cincinnati OH 45212-1224 Ph: (513) 399-7092 |
| NPI Number | 1942021118 |
|---|---|
| Provider Enumeration Date | 10/21/2024 |
| Last Update Date | 10/21/2024 |
| Certification Date | 10/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942021118 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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