Healthcare Provider Details

I. General information

NPI: 1750859807
Provider Name (Legal Business Name): THE CRAIG & FRANCES LINDNER CENTER OF HOPE - HOPE CENTER NORTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2018
Last Update Date: 03/06/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4483 US NORTH 42
MASON OH
45040-1934
US

IV. Provider business mailing address

4483 US NORTH 42
MASON OH
45040-1934
US

V. Phone/Fax

Practice location:
  • Phone: 513-536-0050
  • Fax: 513-204-3476
Mailing address:
  • Phone: 513-536-0050
  • Fax: 513-204-3476

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2800X
TaxonomyMethadone Clinic
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name: LISA GIBBS
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 513-536-0314