Healthcare Provider Details
I. General information
NPI: 1164073565
Provider Name (Legal Business Name): FAMILY SOLUTIONS OF OHIO INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/26/2019
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
- Phone: 513-389-1067
- Fax:
- Phone: 919-263-9293
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QR0405X |
| Taxonomy | Substance Use Disorder Rehabilitation Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOHN
ANTHONY
HOPKINS
Title or Position: CEO
Credential:
Phone: 919-909-4246