Erica Clide
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Cincinnati, OH. Individual provider (NPI-1).
NPI number1467201699
StatusActive
Last updated in NPPESMay 20, 2024
Details
- NPI
- 1467201699
- Entity type
- Individual (NPI-1)
- Name
- Erica Clide
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 20, 2024
- Certification date
- May 19, 2024
- Last updated
- May 20, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Practice location
4140 Mount Carmel Tobasco Rd Apt 6fCincinnati, OH 45255-3434
Phone 513-629-0198
Mailing address
4140 Mount Carmel Tobasco Rd Apt 6fCincinnati, OH 45255-3434
Phone 513-629-0198
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