Name:	Central Clinic
Real Party In Interest:
Type of industry:	Social Service/Mental Health
Address:	311 Albert Sabin Way
Address 2:
City:	Cincinnati
State:	OH
Zip Code:	45229
Contact Person:	Walter Smitson
Phone:	513-558-9015
E-Mail:	smitsows@UCMAIL.UC.EDU

III. Brief description of the type of legislation to which the Legislative Agent's engagement relates:
Issues related to this mental health outpatient facility.
IV. Categorical listing of principal business or activity of Employer:
-Social Svc/Human Svc
V. I am a state employee/officer registering on behalf of my public agency, other than an institution of higher education:
NOT CHECKED