Organization
CENTRAL CLINIC ADULT CARE
Active
Other names
CC-Child/Adult Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER S SMITSON PHD (PRESIDENT / CEO)
(513) 558-9015
Entity
Organization
Contact information
Practice address
311 ALBERT SABIN WAY, CINCINNATI, OH 45229-2801
(513) 558-5823
(513) 558-3880
Mailing address
311 ALBERT SABIN WAY, CINCINNATI, OH 45229-2801
(513) 558-5823
(513) 558-3880
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
0053
OH
261QM0850X
Adult Mental Health Clinic/Center
0053
OH
261QM0855X
Adolescent and Children Mental Health Clinic/Center
0053
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41177
CARF ACCREDITATION
OH
05
—
MC-21-02
—
OH
Enumeration date
08/16/2006
Last updated
09/11/2025
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