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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