Individual
TARA RENEE MCENTIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2196 LINCOLN AVE, CINCINNATI, OH 45224-1828
(513) 903-2554
(513) 903-2554
Mailing address
2196 LINCOLN AVE, CINCINNATI, OH 45224-1828
(513) 903-2554
(513) 903-2554
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/28/2025
Last updated
04/28/2025
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