Organization
INSTITUTE OF YOUTH DEVELOPMENT AND EXCELLENCE
Active
Organization
INSTITUTE OF YOUTH DEVELOPMENT AND EXCELLENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RIYAD SHAMMA (EXECUTIVE DIRECTOR)
(513) 297-3955
Entity
Organization
Contact information
Practice address
2232 STRATFORD AVE, STE 220, CINCINNATI, OH 45219-1202
(513) 297-3955
Mailing address
2232 STRATFORD AVE, STE 220, CINCINNATI, OH 45219-1202
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
01/09/2012
Last updated
01/09/2012
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