Provider Demographics
NPI:1932096427
Name:GROWTH AND SOCIAL SERVICES SPORTS
Entity type:Organization
Organization Name:GROWTH AND SOCIAL SERVICES SPORTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:RASHIA
Authorized Official - Middle Name:S
Authorized Official - Last Name:LAMAR
Authorized Official - Suffix:
Authorized Official - Credentials:QBHS, CCMA
Authorized Official - Phone:513-545-0962
Mailing Address - Street 1:1199 CEDAR AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45224-3003
Mailing Address - Country:US
Mailing Address - Phone:513-545-0962
Mailing Address - Fax:
Practice Address - Street 1:1962 CONNECTICUT AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45224-2382
Practice Address - Country:US
Practice Address - Phone:513-545-0962
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-18
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health