Provider Demographics
NPI:1346374196
Name:MCGRATH ADOLESCENT & FAMILY CENTER
Entity type:Organization
Organization Name:MCGRATH ADOLESCENT & FAMILY CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFC.MNGR.
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:L
Authorized Official - Last Name:BOOHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-271-0803
Mailing Address - Street 1:8260 NORTHCREEK DR
Mailing Address - Street 2:380
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45236-2293
Mailing Address - Country:US
Mailing Address - Phone:513-271-0803
Mailing Address - Fax:513-272-4132
Practice Address - Street 1:8260 NORTHCREEK DR
Practice Address - Street 2:380
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-2293
Practice Address - Country:US
Practice Address - Phone:513-271-0803
Practice Address - Fax:513-272-4132
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty