Provider Demographics
NPI:1346657343
Name:PROJECT CURE INC
Entity type:Organization
Organization Name:PROJECT CURE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:HERMAN
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:ERVING
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:937-267-5089
Mailing Address - Street 1:200 DARUMA PKWY
Mailing Address - Street 2:
Mailing Address - City:MORAINE
Mailing Address - State:OH
Mailing Address - Zip Code:45439-7909
Mailing Address - Country:US
Mailing Address - Phone:937-262-3500
Mailing Address - Fax:937-496-5283
Practice Address - Street 1:200 DARUMA PKWY
Practice Address - Street 2:
Practice Address - City:MORAINE
Practice Address - State:OH
Practice Address - Zip Code:45439-7909
Practice Address - Country:US
Practice Address - Phone:937-262-3500
Practice Address - Fax:937-496-5283
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-22
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1402Medicaid