Provider Demographics
NPI:1316282585
Name:ABUSE AND RAPE CRISIS SHELTER
Entity type:Organization
Organization Name:ABUSE AND RAPE CRISIS SHELTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FISCAL/HR MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:L
Authorized Official - Last Name:PANNING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-695-1185
Mailing Address - Street 1:27 N EAST ST
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:OH
Mailing Address - Zip Code:45036-1809
Mailing Address - Country:US
Mailing Address - Phone:513-695-1185
Mailing Address - Fax:513-695-2433
Practice Address - Street 1:27 N EAST ST
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:OH
Practice Address - Zip Code:45036-1809
Practice Address - Country:US
Practice Address - Phone:513-695-1185
Practice Address - Fax:513-695-2433
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-29
Last Update Date:2012-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health