Organization
CONSCIOUS LIVING CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH A OOTEN PHD (PRESIDENT)
(513) 621-3600
Entity
Organization
Contact information
Practice address
114 WELLINGTON PL, SUITE 2, CINCINNATI, OH 45219-1736
(513) 621-3600
(513) 621-3613
Mailing address
114 WELLINGTON PL, SUITE 2, CINCINNATI, OH 45219-1736
(513) 621-3600
(513) 621-3613
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
OT 000900
OH
Other
Enumeration date
05/21/2008
Last updated
05/21/2008
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