Healthcare Provider Details

I. General information

NPI: 1285097618
Provider Name (Legal Business Name): CINCINNATI TREATMENT & COUNSELING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2016
Last Update Date: 04/02/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3041 SYMMES RD UNIT D
HAMILTON OH
45015-1395
US

IV. Provider business mailing address

3041 SYMMES RD UNIT D
HAMILTON OH
45015-1395
US

V. Phone/Fax

Practice location:
  • Phone: 513-860-9888
  • Fax: 513-860-2268
Mailing address:
  • Phone: 513-860-9888
  • Fax: 513-860-2268

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TA0400X
TaxonomyAddiction (Substance Use Disorder) Psychologist
License Number
License Number State

VIII. Authorized Official

Name: MR. JOHN STEPHEN SILVANI
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: RN CARN CAS
Phone: 513-479-3952