| Notably Gifted Arts Academy Inc | |
|
2800 E River Rd Moraine OH 45439-1538 | |
| (937) 985-3703 | |
| Not Available |
| Full Name | Notably Gifted Arts Academy Inc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 2800 E River Rd, Moraine, Ohio |
| Authorized Official Name and Position | Kimberly Kennerson (DIRECTOR) |
| Authorized Official Contact | 9379853703 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Notably Gifted Arts Academy Inc 2800 E River Rd Moraine OH 45439-1538 Ph: (937) 985-3703 | Notably Gifted Arts Academy Inc 2800 E River Rd Moraine OH 45439-1538 Ph: (937) 985-3703 |
| NPI Number | 1043992993 |
|---|---|
| Provider Enumeration Date | 08/01/2023 |
| Last Update Date | 08/01/2023 |
| Certification Date | 08/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043992993 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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