Organization
TALBERT HOUSE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM D HOSTLER (CHIEF FINANCIAL OFFICER)
(513) 751-7747
Entity
Organization
Contact information
Practice address
759 COLUMBUS AVE, LEBANON, OH 45036-1754
(513) 932-4337
(513) 932-6750
Mailing address
2600 VICTORY PKWY, CINCINNATI, OH 45206-1711
(513) 751-7747
(513) 872-5863
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
OH
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1249
UPIN
OH
Enumeration date
05/21/2009
Last updated
05/21/2009
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