Individual
EMMANUEL J BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11156 CANAL RD STE A, CINCINNATI, OH 45241-5816
(513) 772-6166
Mailing address
11156 CANAL RD STE A, CINCINNATI, OH 45241-5816
(513) 772-6166
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
OH
172V00000X
Community Health Worker
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
11/30/2020
Last updated
03/24/2022
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