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Organization
CLAY INTEGRATED HEALTH SERVICES
Active
Organization
CLAY INTEGRATED HEALTH SERVICES
Active
Other names
clay integrated health services
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA D YOUNG PMHNP-BC (CEO)
(513) 544-8813
Entity
Organization
Contact information
Practice address
1 N COMMERCE PARK DR STE 103, CINCINNATI, OH 45215-3188
(513) 544-8813
Mailing address
1 N COMMERCE PARK DR STE 103, CINCINNATI, OH 45215-3188
(513) 544-8813
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
NULL
261Q00000X
Clinic/Center
—
NULL
261QU0200X
Urgent Care Clinic/Center
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
NULL
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
12/23/2019
Last updated
09/16/2020
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