| G.l.a.d. House, Inc. | |
|
1994 Madison Road Cincinnati OH 45208 | |
| (513) 641-5530 | |
| (513) 482-7042 |
| Full Name | G.l.a.d. House, Inc. |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 1994 Madison Road, Cincinnati, Ohio |
| Authorized Official Name and Position | Todd M. Ryan (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 5136415530 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| G.l.a.d. House, Inc. 1994 Madison Road Cincinnati OH 45208 Ph: (513) 641-5530 | G.l.a.d. House, Inc. 1994 Madison Road Cincinnati OH 45208 Ph: (513) 641-5530 |
| NPI Number | 1205884905 |
|---|---|
| Provider Enumeration Date | 05/04/2006 |
| Last Update Date | 11/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205884905 | NPI | - | NPPES |
| 08305 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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