Organization
CENTRAL CLINIC FORENSIC SERVICES
Active
Other names
Court Clinic
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
909 SYCAMORE ST, CINCINNATI, OH 45202-1305
(513) 352-1342
(513) 352-1345
Mailing address
909 SYCAMORE ST, CINCINNATI, OH 45202-1305
(513) 352-1342
(513) 352-1345
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
10126
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41177
CARF
OH
05
—
MC-21-41
—
OH
Enumeration date
05/22/2012
Last updated
05/22/2012
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