Organization
CHILDRENS DIAGNOSTIC CENTER
Active
Other names
CDC Mental Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER S SMITSON PH.D. (PRESIDENT / CEO)
(513) 558-9015
Entity
Organization
Contact information
Practice address
2100 PLEASANT AVE, HAMILTON, OH 45015-1133
(513) 868-1562
(513) 868-1415
Mailing address
2100 PLEASANT AVE, HAMILTON, OH 45015-1133
(513) 868-1562
(513) 868-1415
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
10057
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41177
CARF
OH
05
—
MC-07-04
—
OH
Enumeration date
05/21/2012
Last updated
05/21/2012
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