Organization
READY PEER SUPPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TEVIS ADULARESCENCE (OWNER)
(513) 913-6148
Entity
Organization
Contact information
Practice address
800 VINE ST, CINCINNATI, OH 45202-2009
(513) 913-6148
Mailing address
1228 WALNUT ST APT 2, CINCINNATI, OH 45202-7135
(513) 913-6148
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
02/21/2023
Last updated
08/18/2024
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