NPI 1194095893

Cleveland Juvenile Justice and Delinquency Preventin Center

Organisation Voluntary or Charitable Agency Cleveland, OH

Practice location

Address: 3385 East 147th Street, Cleveland, OH 44120
Phone: (216) 754-0615
Mailing address: 3385 E 147th St, Cleveland, OH 44120-4133

Authorised official

Name: Calvin Drake
Title: Owner
Phone: (216) 754-0615

Registered specialties (5)

Voluntary or Charitable Agency Primary

Agencies Taxonomy 251V00000X Licence EXEMPTION/ CLERGY (OH)

Other Voluntary or Charitable providers in Ohio →

Voluntary or Charitable Agency

Agencies Taxonomy 251V00000X Licence EXEMPTION (OH)

Early Intervention Provider Agency

Agencies Taxonomy 252Y00000X Licence EXEMPTION (OH)

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Substance Abuse Rehabilitation Facility

Residential Treatment Facilities Taxonomy 324500000X

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Children's Substance Abuse Rehabilitation Facility

Residential Treatment Facilities Taxonomy 3245S0500X

Registry record

NPI: 1194095893
Entity type: Organization
NPI issued: 11 Jan 2012
Record last updated: 14 Mar 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.