Healthcare Provider Details

I. General information

NPI: 1043440050
Provider Name (Legal Business Name): TALBERT HOUSE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2009
Last Update Date: 07/24/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9018 CINTI COLUMBUS RD
WEST CHESTER OH
45069-3565
US

IV. Provider business mailing address

2600 VICTORY PKWY
CINCINNATI OH
45206-1711
US

V. Phone/Fax

Practice location:
  • Phone: 513-777-2201
  • Fax: 513-777-2602
Mailing address:
  • Phone: 513-751-7747
  • Fax: 513-872-5182

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NEIL TILOW
Title or Position: PRESIDENT
Credential:
Phone: 513-751-7747