- Facility Name
- A CRYSTAL MIND
- Type / Classification
- Nurse Practitioner, Psych/Mental Health
- Address
- 4015 EXECUTIVE PARK DR STE 310, CINCINNATI, OH 45241
- Phone Number
- (513) 923-6336
- NPI Number
- 1467068262
- Authorized Official
- CRYSTAL FARRELL (owner)
- Enumeration Date
- 2020-09-17