Organization
OHIO COMMUNITY SUPPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
USMAN M MBAH (CEO)
(513) 307-7700
Entity
Organization
Contact information
Practice address
5658 COLERAIN AVE, CINCINNATI, OH 45239-6746
(513) 307-7700
Mailing address
5658 COLERAIN AVE, CINCINNATI, OH 45239-6746
(513) 307-7700
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
Other
Enumeration date
08/14/2013
Last updated
08/14/2013
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