Provider Demographics
NPI:1780252700
Name:BE COURAGEOUS INCOPORATED
Entity type:Organization
Organization Name:BE COURAGEOUS INCOPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:L
Authorized Official - Last Name:GARRISON
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:513-903-5562
Mailing Address - Street 1:824 CEDARHILL DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45240-1327
Mailing Address - Country:US
Mailing Address - Phone:513-903-5562
Mailing Address - Fax:
Practice Address - Street 1:824 CEDARHILL DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45240-1327
Practice Address - Country:US
Practice Address - Phone:513-903-5562
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-15
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1982295986OtherSOCIAL WORKER