NPI 1366973414

Frontline Service

Organisation Mental Illness Community Based Residential Treatment Facility Cleveland, OH

Practice location

Address: 8315 Detroit Ave, Cleveland, OH 44102-1805
Phone: (216) 651-9950
Fax: (216) 651-9951
Mailing address: 1744 Payne Ave, Cleveland, OH 44114-2910

Authorised official

Name: Yolanda Yvette Neal
Title: Staff Nurse
Phone: (216) 651-9950

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence RN322679 (OH)

Other Community Based Residential Treatment Facility, Mental Illness providers in Ohio →

Registry record

NPI: 1366973414
Entity type: Organization
NPI issued: 21 Mar 2017
Record last updated: 21 Mar 2017

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.