Organization
NOTABLY GIFTED ARTS ACADEMY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY KENNERSON (DIRECTOR)
(937) 985-3703
Entity
Organization
Contact information
Practice address
2800 E RIVER RD, MORAINE, OH 45439-1538
(937) 985-3703
Mailing address
2800 E RIVER RD, MORAINE, OH 45439-1538
(937) 985-3703
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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