Organization
COMMUNITY IMPACT, INC.
Active
Other names
Universal Health and Social Services Network
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES E MYLES B.S. (EXECUTIVE DIRECTOR)
(513) 319-3325
Entity
Organization
Contact information
Practice address
700 W PETE ROSE WAY, SUITE 350, CINCINNATI, OH 45203-1892
(513) 319-3325
Mailing address
700 W PETE ROSE WAY, SUITE 350, CINCINNATI, OH 45203-1875
(513) 319-3325
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
251V00000X
Voluntary or Charitable Agency
Primary
—
—
261QB0400X
Birthing Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005406
—
OH
05
—
09783781
—
MS
05
—
500672145
—
OR
Enumeration date
05/29/2005
Last updated
07/14/2014
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