Organization
GREATER CINCINNATI OFFICE OF REENTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA M YOUNGBLOOD (FOUNDER/CEO)
(513) 836-1275
Entity
Organization
Contact information
Practice address
2140 WAYCROSS RD, CINCINNATI, OH 45240-2719
(513) 836-1275
Mailing address
10650 FORESTDALE DR, CINCINNATI, OH 45240-4009
(513) 836-1275
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
Other
Enumeration date
01/06/2026
Last updated
01/06/2026
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