Healthcare Provider Details

I. General information

NPI: 1043419237
Provider Name (Legal Business Name): URBAN MINORITY ALCOHOLISM & DRUG ABUSE OUTREACH PROGRAM OF CINCINNATI
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2007
Last Update Date: 10/27/2025
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2230 PARK AVE
CINCINNATI OH
45206-2784
US

IV. Provider business mailing address

2230 PARK AVE
CINCINNATI OH
45206-2784
US

V. Phone/Fax

Practice location:
  • Phone: 513-541-7099
  • Fax: 513-541-0989
Mailing address:
  • Phone: 513-541-7099
  • Fax: 513-541-0989

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number1036
License Number StateOH
# 5
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number1036
License Number StateOH

VIII. Authorized Official

Name: PATRICIA BROWN
Title or Position: CEO, EXECUTIVE DIRECTOR
Credential:
Phone: 513-541-7099