Organization
G.L.A.D. HOUSE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD M. RYAN CPA (DIRECTOR OF OPERATIONS)
(513) 641-5530
Entity
Organization
Contact information
Practice address
1994 MADISON ROAD, CINCINNATI, OH 45208
(513) 641-5530
(513) 482-7042
Mailing address
1994 MADISON ROAD, CINCINNATI, OH 45208
(513) 641-5530
(513) 482-7042
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08305
—
OH
Enumeration date
05/04/2006
Last updated
11/22/2016
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