Most Relevant Information
Provider Data
| NPI Number: | 1003562091 |
| Provider Name: | KATHRYN GRAY |
| Entity Type: | Individual |
| Taxonomy Code: | 320900000X |
| Specialty: | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/28/2022 |
| Last Updated: | 11/03/2023 |
Provider Practice Location
10925 REED HARTMAN HWY STE 310G
BLUE ASH
OH
452422842
Practice Location Phone/Fax
| Phone: | 5132956995 |
| Fax: |
Provider Mailing Location
10925 REED HARTMAN HWY STE 310G
BLUE ASH
OH
452422842
Provider Mailing Phone/Fax
| Phone: | 5132956995 |
| Fax: |