Organization
BROTHAS INC. YOUTH INITIATIVE
Active
Organization
BROTHAS INC. YOUTH INITIATIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONNELL ELLISON SR. (PRESIDENT)
(937) 856-6523
Entity
Organization
Contact information
Practice address
4909 PADDOCK RD, CINCINNATI, OH 45237-5509
(937) 856-6523
Mailing address
4245 REDWOOD TER, CINCINNATI, OH 45217-1825
(937) 856-6523
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
05/27/2026
Last updated
05/27/2026
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