# SYCAMORE VISTA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EPILEPSY FOUNDATION OF GREATER CINCINNATI
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1710121397
- **Legal business name:** EPILEPSY FOUNDATION OF GREATER CINCINNATI
- **Authorized official:** MS. KATHY STEWART (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (513) 721-2905

## Contact information

- **Practice address:** 800 OLD SOUTH RIVERSIDE DR, BATAVIA, OH 45103-8725
- **Practice address phone:** (513) 735-6666
- **Practice address fax:** (513) 735-6777
- **Mailing address:** 895 CENTRAL AVE, SUITE 550, CINCINNATI, OH 45202-1961
- **Mailing address phone:** (513) 721-2905
- **Mailing address fax:** (513) 721-0799

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 04/27/2009
- **Last updated:** 04/27/2009
