Organization
PROSPECT HOUSE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID F LOGAN L.I.C.D.C., N.C.A.C. (EXECUTIVE DIRECTOR)
(513) 921-1613
Entity
Organization
Contact information
Practice address
682 HAWTHORNE AVE, CINCINNATI, OH 45205-2319
(513) 921-1613
(513) 921-4244
Mailing address
682 HAWTHORNE AVE, CINCINNATI, OH 45205-2319
(513) 921-1613
(513) 921-4244
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
1270
OH
Other
Enumeration date
07/04/2006
Last updated
08/22/2020
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