Healthcare Provider Details

I. General information

NPI: 1194735639
Provider Name (Legal Business Name): BIG BROTHERS BIG SISTERS OF BUTLER COUNTY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5539 EUREKA DR
HAMILTON OH
45011-4267
US

IV. Provider business mailing address

5539 EUREKA DR
HAMILTON OH
45011-4267
US

V. Phone/Fax

Practice location:
  • Phone: 513-867-1227
  • Fax: 513-867-1489
Mailing address:
  • Phone: 513-867-1227
  • Fax: 513-867-1489

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. CAROLYN B WINSLOW
Title or Position: CEO
Credential: MA
Phone: 513-867-1227