| Urban Minority Alcoholism & Drug Abuse Outreach Program Of Cincinnati | |
|
2230 Park Ave Cincinnati OH 45206-2784 | |
| (513) 541-7099 | |
| (513) 541-0989 |
| Full Name | Urban Minority Alcoholism & Drug Abuse Outreach Program Of Cincinnati |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2230 Park Ave, Cincinnati, Ohio |
| Authorized Official Name and Position | Patricia Brown (CEO, EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5135417099 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Urban Minority Alcoholism & Drug Abuse Outreach Program Of Cincinnati 2230 Park Ave Cincinnati OH 45206-2784 Ph: (513) 541-7099 | Urban Minority Alcoholism & Drug Abuse Outreach Program Of Cincinnati 2230 Park Ave Cincinnati OH 45206-2784 Ph: (513) 541-7099 |
| NPI Number | 1043419237 |
|---|---|
| Provider Enumeration Date | 07/17/2007 |
| Last Update Date | 05/05/2025 |
| Certification Date | 05/05/2025 |
| Medicare PECOS PAC ID | 7810353893 |
|---|---|
| Medicare Enrollment ID | O20230517001129 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043419237 | NPI | - | NPPES |
| 0056860 | Medicaid | OH |
| Provider Name | Carol Ann Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831488543 PECOS PAC ID: 9032333927 Enrollment ID: I20140616001611 |
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