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Organization
THE BLACK MENTAL HEALTH CORPORATION
Active
Organization
THE BLACK MENTAL HEALTH CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DESMOND EUGENE YANAMAYU LISW-S (CLINICAL DIRECTOR)
(330) 518-4863
Entity
Organization
Contact information
Practice address
13110 SHAKER SQ STE C200, CLEVELAND, OH 44120-2373
(216) 512-0321
(216) 370-3192
Mailing address
4531 EMERSON RD, SOUTH EUCLID, OH 44121-3929
(330) 518-4863
(216) 370-3192
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0443172
—
OH
Enumeration date
06/05/2021
Last updated
06/05/2021
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