Healthcare Provider Details

I. General information

NPI: 1346374196
Provider Name (Legal Business Name): MCGRATH ADOLESCENT & FAMILY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8260 NORTHCREEK DR 380
CINCINNATI OH
45236-2293
US

IV. Provider business mailing address

8260 NORTHCREEK DR 380
CINCINNATI OH
45236-2293
US

V. Phone/Fax

Practice location:
  • Phone: 513-271-0803
  • Fax: 513-272-4132
Mailing address:
  • Phone: 513-271-0803
  • Fax: 513-272-4132

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MS. LINDA L BOOHER
Title or Position: OFC.MNGR.
Credential:
Phone: 513-271-0803