Organization
HEALTH RESOURCE CENTER OF CINCINNATI, INC.
Active
Organization
HEALTH RESOURCE CENTER OF CINCINNATI, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CONNIE RONAN WILSON EDD, LPCC APRN-BC (PRESIDENT & CEO)
(513) 357-4602
Entity
Organization
Contact information
Practice address
2347 VINE ST, CINCINNATI, OH 45219-1745
(513) 357-4602
(513) 621-2350
Mailing address
2347 VINE ST, CINCINNATI, OH 45219-1745
(513) 357-4602
(513) 621-2350
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
OH
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12556
—
OH
Enumeration date
04/03/2007
Last updated
03/19/2013
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