Organization
REALIZABLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QUINETTA TUBBS (OWNER)
(513) 692-0078
Entity
Organization
Contact information
Practice address
1580 COMPTON RD, CINCINNATI, OH 45231-3428
(330) 880-7714
Mailing address
1580 COMPTON RD, CINCINNATI, OH 45231-3428
(330) 880-7714
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251V00000X
Voluntary or Charitable Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
Other
Enumeration date
05/09/2024
Last updated
05/09/2024
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