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Organization

COMMUNITY IMPACT, INC.

Active
Parent organization
COMMUNITY IMPACT, INC.
Organization subpart
Yes

Provider details

NPI number
Legal business name
COMMUNITY IMPACT, INC.
Authorized official
CHARLES E MYLES (EXECUTIVE DIRECTOR)
(513) 692-7971
Entity
Organization

Contact information

Practice address
201 E 5TH ST FL 19, CINCINNATI, OH 45202-4152
(283) 220-8375
Mailing address
201 E 5TH ST FL 19, CINCINNATI, OH 45202-4152
(283) 220-8375

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
251B00000X
Case Management Agency
251S00000X
Community/Behavioral Health Agency
251V00000X
Voluntary or Charitable Agency
Primary
252Y00000X
Early Intervention Provider Agency
261Q00000X
Clinic/Center
261QM0850X
Adult Mental Health Clinic/Center
261QU0200X
Urgent Care Clinic/Center
291U00000X
Clinical Medical Laboratory
332B00000X
Durable Medical Equipment & Medical Supplies
3336C0002X
Clinic Pharmacy
343900000X
Non-emergency Medical Transport (VAN)

Other

Enumeration date
07/16/2025
Last updated
07/16/2025
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