# CLEVELAND CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831599810
- **Authorized official:** MS. NIKKI HOLWAY M.ED., BCBA (BEHAVIOR ANALYST)
- **Authorized official phone:** (216) 448-6275

## Contact information

- **Practice address:** 2801 MARTIN LUTHER KING JR DR, CLEVELAND, OH 44104-3815
- **Practice address phone:** (216) 448-6275
- **Mailing address:** 2801 MARTIN LUTHER KING JR DR, CLEVELAND, OH 44104-3815

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 283XC2000X | Children's Rehabilitation Hospital | 1-13-13405 | OH | Yes |

## Other

- **Enumeration date:** 08/27/2014
- **Last updated:** 08/27/2014
