Kathryn Gray
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Blue Ash, OH. Individual provider (NPI-1).
NPI number1003562091
StatusActive
Last updated in NPPESNov 3, 2023
Details
- NPI
- 1003562091
- Entity type
- Individual (NPI-1)
- Name
- Kathryn Gray
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 28, 2022
- Certification date
- Nov 3, 2023
- Last updated
- Nov 3, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Practice location
10925 Reed Hartman Hwy Ste 310gBlue Ash, OH 45242-2842
Phone 513-295-6995
Mailing address
10925 Reed Hartman Hwy Ste 310gBlue Ash, OH 45242-2842
Phone 513-295-6995
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