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Organization

OFF THE BLOCK PROGRAM

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SYNAMON BRANDI DENISE ROSEMOND (OWNER)
(513) 560-1153
Entity
Organization

Contact information

Practice address
1022 BYRD AVE UNIT 3, CINCINNATI, OH 45215-2223
(513) 560-1153
Mailing address
1022 BYRD AVE UNIT 3, CINCINNATI, OH 45215-2223
(513) 560-1153

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
320800000X
Mental Illness Community Based Residential Treatment Facility

Other

Enumeration date
11/11/2021
Last updated
11/04/2025
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