The Covenant Adolescent Chemical Dependency Treatment & Prevention Cen

NPI 1053487140 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1053487140
Enumeration Date 11/28/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name RICHARD J. RICHARD
Position EXECUTIVE DIRECTOR
Phone (216) 574-9000
Fax (216) 664-6534
Practice Location
1515 W 29TH ST
CLEVELAND OH, 44113-2906, US
Phone (216) 574-9000
Fax (216) 664-6534
Business Location
1515 W 29TH ST
CLEVELAND OH, 44113-2906, US
Phone (216) 574-9000
Fax (216) 664-6534
Toxanomy
Taxonomy Code 251S00000X
License State Ohio
License Number 6782
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According to our database, The Covenant Adolescent Chemical Dependency Treatment & Prevention Cen NPI is 1053487140, taxonomy code is 251S00000X and license number is 6782, license state is located at Ohio. The Covenant Adolescent Chemical Dependency Treatment & Prevention Cen physically located at 1515 W 29th St, Cleveland OH, 44113-2906. NPI Number 1033115704 has the healthcare provider type.

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1053487140 NPI number is provided on an as is basis without warranty of any kind. 1053487140 is maintained by the National Plan & Provider Enumeration System. The contents of The Covenant Adolescent Chemical Dependency Treatment & Prevention Cen are for informational purposes only.