Healthcare Provider Details

I. General information

NPI: 1821877564
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: 09/22/2023
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
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 Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

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