Organization
MENTAL DISABILITY HEALTH & COMMUNITY RESIDENTIAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MORGAN COLEMAN (AGENCY ADMINISTRATOR)
(216) 773-0532
Entity
Organization
Contact information
Practice address
3790 SHERWOOD RD, SOUTH EUCLID, OH 44121-1940
(216) 773-0532
Mailing address
3790 SHERWOOD RD, SOUTH EUCLID, OH 44121-1940
(216) 773-0532
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/03/2020
Last updated
06/03/2020
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