Organization
CENTRAL COMMUNITY HEALTH BOARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BEVERLY ANN MASSEY LISW-S (CONTRACT THERAPIST)
(513) 559-2000
Entity
Organization
Contact information
Practice address
530 MAXWELL AVE, CINCINNATI, OH 45219-2408
(513) 559-2000
Mailing address
530 MAXWELL AVE, CINCINNATI, OH 45219-2408
(513) 559-2000
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
080
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MC21-12
—
OH
Enumeration date
02/21/2014
Last updated
02/21/2014
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