Healthcare Provider Details

I. General information

NPI: 1073949202
Provider Name (Legal Business Name): FAMILY SOLUTIONS OF OHIO INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2013
Last Update Date: 02/24/2020
Certification Date: 02/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3425 N BEND RD STE F
CINCINNATI OH
45239-7660
US

IV. Provider business mailing address

11635 NORTHPARK DR STE 320
WAKE FOREST NC
27587-6525
US

V. Phone/Fax

Practice location:
  • Phone: 513-389-1067
  • Fax:
Mailing address:
  • Phone: 919-263-9293
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. JOHN ANTHONY HOPKINS SR.
Title or Position: PRESIDENT
Credential:
Phone: 919-909-4246