Organization
CLARK JOHNSON ENTERPRISES LLC
Active
Other names
Clark Johnson Thrive Project
Organization subpart
No
Provider details
NPI number
Authorized official
TAKARA CLARK (CEO)
(513) 227-6941
Entity
Organization
Contact information
Practice address
7333 E LIVINGSTON AVE STE A, REYNOLDSBURG, OH 43068-3098
(216) 200-8445
Mailing address
PO BOX 29044, COLUMBUS, OH 43229-0044
(216) 200-8445
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251K00000X
Public Health or Welfare Agency
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
05/05/2025
Last updated
09/24/2025
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