Organization
CENTRAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER SMITSON PHD (CEO)
(513) 558-9006
Entity
Organization
Contact information
Practice address
2825 BURNET AVE, CINCINNATI, OH 45219-2426
(513) 558-5952
Mailing address
311 ALBERT SABIN WAY, CINCINNATI, OH 45229-2838
(513) 558-9006
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
I.1303609-SUPV
OH
Other
Enumeration date
04/12/2016
Last updated
04/12/2016
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