Organization
HONOR WITH CLASS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. IVYE MARIE GARDNER MSW (CHIEF EXECUTIVE OFFICER)
(513) 331-1987
Entity
Organization
Contact information
Practice address
432 RAY NORRISH DR, CINCINNATI, OH 45246-1520
(513) 331-1153
Mailing address
432 RAY NORRISH DR, CINCINNATI, OH 45246-1520
(513) 331-1987
(513) 964-9812
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
OH
Other
Enumeration date
04/15/2016
Last updated
06/04/2023
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